Oakwood Professional Billing, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

OAKWOOD PROFESSIONAL BILLING, LLC

Doing business as

Willie B Gibson MD PC

Practice address

18300 W McNichols Rd
Detroit, MI 48219-4162

Phone

(313) 535-9366

NPI assigned

Apr 15, 2011

Organization subpart

No

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

Addresses

Other names 1

• Willie B Gibson MD PC Doing business as

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yasser Awaad, MD

  • Pediatric Neurodevelopmental Disabilities Physician
  • Dearborn, MI
  • NPI 1528048501
  NPD (past)
• Willie B Gibson, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Detroit, MI
  • NPI 1497801609
  NPD (past)
• Derrick Williamson, DO

  • Family Medicine Physician
  • Southfield, MI
  • NPI 1215922059

  General Practice

  NPD (past)

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

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1457641011",
    "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": "18300 W MCNICHOLS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482194162",
            "telephone_number": "313-535-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKWOOD PROFESSIONAL BILLING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-15",
        "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": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willie B Gibson MD PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Willie B Gibson MD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Renee O'Shell
• James Oakes, B.S.
• Oakland Group Connections
• Oakpointe Senior Care and Rehab Center, LLC
• Oakview Adult Day Care
• Amy B Oatfield, PA-C
• Breandan Michael Oatman, DO
• Waleed Obaid, M.D
• Obama Pharmacy LLC
• Ryan Obarzanek, MD

• General Practice Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• General Practice Physician in Michigan

• 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.

Verify at the official NPI Registry.