NPIMap

Organization Active NPI

Molly O'Shea, MD, PLLC

Doing business as Birmingham Pediatrics Wellness Center

  • Clinic/Center
  • Troy, MI
National Provider Identifier
1346417615
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MO 056871 Issued in MI
Legal business name
MOLLY O'SHEA, MD, PLLC
Doing business as
Birmingham Pediatrics Wellness Center
Practice address
3270 W Big Beaver Rd
Suite 400
Troy, MI 48084-2901
Phone
(248) 770-7245
NPI assigned
May 14, 2008
Last updated
May 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2012

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

Authorized official

Name
Dr. Mary Doherty O'Shea, M.D.NPI 1316922271
Title
Owner
Phone
(248) 770-7245

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MO 056871 MI Primary

Addresses

Primary practice location

3270 W Big Beaver Rd
Suite 400
Troy, MI 48084-2901

Mailing address

3270 W Big Beaver Rd
Suite 400
Troy, MI 48084-2901
Phone (248) 770-7245

Other names 1

  • Birmingham Pediatrics Wellness Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Birmingham Ped Wellness CNTR2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6785 Telegraph Rd
Bloomfield Hills, MI 48301

6785 Telegraph Rd
Ste 350
Bloomfield Hills, MI 48301

3270 W Big Beaver Rd
Ste 400
Troy, MI 48084
Phone (248) 770-7245

Practitioners & affiliated clinicians

Practitioners 4

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": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1346417615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 W BIG BEAVER RD",
            "address_2": "SUITE 400",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480842901",
            "telephone_number": "248-770-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3270 W BIG BEAVER RD",
            "address_2": "SUITE 400",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480842901",
            "telephone_number": "248-770-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLLY O'SHEA, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "O'SHEA",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "DOHERTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-770-7245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "MO 056871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Birmingham Pediatrics Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.