Active NPI
Oakwood Healthcare Group I, LLC
- Foot & Ankle Surgery Podiatrist
- Plymouth, MI
National Provider Identifier
1063561827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- OAKWOOD HEALTHCARE GROUP I, LLC
- Practice address
- 9398 N Lilley Rd
Plymouth, MI 48170-4610 - Phone
- (734) 453-8510
- NPI assigned
- Jan 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lee Ann Odom
- Title
- President Shared Services
- Phone
- (947) 522-3326
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
9398 N Lilley Rd
Plymouth, MI 48170-4610
Mailing address
26901 Beaumont Blvd
Compliance
Southfield, MI 48033-3849
Phone (947) 522-1964
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634774400000",
"number": "1063561827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26901 BEAUMONT BLVD",
"address_2": "COMPLIANCE",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480333849",
"telephone_number": "947-522-1964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9398 N LILLEY RD",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481704610",
"telephone_number": "734-453-8510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAKWOOD HEALTHCARE GROUP I, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-10",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"status": "A",
"authorized_official_last_name": "ODOM",
"authorized_official_first_name": "LEE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "PRESIDENT SHARED SERVICES",
"authorized_official_telephone_number": "947-522-3326"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.