NPIMap

Organization Active NPI

Direct Medical PLLC

  • General Practice Physician
  • Oak Park, MI
National Provider Identifier
1053672923
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DIRECT MEDICAL PLLC
Practice address
22150 Greenfield Rd
Suite 203
Oak Park, MI 48237-2535
Phone
(248) 246-0533
NPI assigned
Jun 6, 2012
Last updated
Jun 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Suzanne Osantowski, LPNNPI 1265793525
Title
Owner/Nurse
Phone
(248) 246-0533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

22150 Greenfield Rd
Suite 203
Oak Park, MI 48237-2535

Mailing address

22150 Greenfield Rd
Suite 203
Oak Park, MI 48237-2535
Phone (248) 246-0533

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1053672923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22150 GREENFIELD RD",
            "address_2": "SUITE 203",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372535",
            "telephone_number": "248-246-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22150 GREENFIELD RD",
            "address_2": "SUITE 203",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372535",
            "telephone_number": "248-246-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "OSANTOWSKI",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER/NURSE",
        "authorized_official_telephone_number": "248-246-0533",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.