Avid Health, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

AVID HEALTH, LLC

Doing business as

Avid Health, LLC

Practice address

6481 Royal Pointe Dr
West Bloomfield, MI 48322-2057

Phone

(313) 729-3970

NPI assigned

Jul 10, 2019

Last updated

Jul 10, 2019By 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

Obiageli Christiana Ezeanya, NURSE PRACTITIONERNPI 1992269146

Title

Administrator

Phone

(313) 729-3970

Specialties & licenses 1

Addresses

Other names 1

• Avid Health, LLC Doing business as

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.

• Obiageli Christiana Ezeanya, FNP

  • Family Nurse Practitioner
  • West Bloomfield, MI
  • NPI 1992269146
  Authorized official Same address or phone

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1245882216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6481 ROYAL POINTE DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222057",
            "telephone_number": "313-729-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6481 ROYAL POINTE DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222057",
            "telephone_number": "313-729-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVID HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "EZEANYA",
        "authorized_official_first_name": "OBIAGELI",
        "authorized_official_middle_name": "CHRISTIANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "313-729-3970",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avid Health, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Austin, OT
• Avanti Rehab Group
• Avneet Kaur Avendano, MD
• Avery Arora, MD PC
• Avery J Murav DDS PC
• Harshini Avula, D.P.M
• Alexander Ayar, DPT
• Chadi G Azzi, RPH
• Shaun D Bach
• Ashley R Bade, PMHNP-BC

• Health Service Clinic/Center in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Health Service Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.