Opdyke Medical, PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

OPDYKE MEDICAL, PLLC

Practice address

3959 Centerpoint Pkwy Ste 100
Pontiac, MI 48341-3121

Phone

(248) 333-2600

Fax

(248) 333-3250

NPI assigned

Apr 3, 2013

Last updated

Apr 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marie Therese Crum

Title

Administrator

Phone

(248) 240-5699

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10065479

Practitioners 3

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.

• Nada Samir Beydoun, D.O

  • Internal Medicine Physician
  • Pontiac, MI
  • NPI 1912293978
  Medicare reassignment NPD
• Sarah Elizabeth Cole, FNP-C

  • Family Nurse Practitioner
  • Pontiac, MI
  • NPI 1588040455
  NPD
• Paul Walter Haduck, DO

  • Family Medicine Physician
  • Munising, MI
  • NPI 1679587174
  NPD

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1154664688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 CENTERPOINT PKWY STE 100",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483413121",
            "telephone_number": "248-333-2600",
            "fax_number": "248-333-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 CENTERPOINT PKWY STE 100",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483413121",
            "telephone_number": "248-333-2600",
            "fax_number": "248-333-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPDYKE MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "CRUM",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "THERESE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-240-5699"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Omote RX Inc
• One Call Staffing
• Felecia Ann Oneal
• Rachel L. Opiela, PA
• Optical Management Systems, Inc. (Optiview Vision Center)
• Optimal Care Case Management LLC
• Mohamad Yser Orabi, MD
• Sarah Katie Ornazian, D.O.

• Multi-Specialty Clinic/Center in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Multi-Specialty Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.