Individual provider Active NPI

Emily O'Rourke

  • Physician Assistant
  • Lenox Township, MI
National Provider Identifier
1548640709
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601007342 Issued in MI
Practice address
36555 26 Mile Road
Suite 1100
Lenox Township, MI 48048
Phone
(947) 523-4040
NPI assigned
Jun 3, 2015
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601007342 MI Primary

Addresses

Primary practice location

36555 26 Mile Road
Suite 1100
Lenox Township, MI 48048

Mailing address

26901 Beaumont Blvd
Southfield, MI 48033-3849
Phone (947) 522-1848

Other practice location 1

3601 W 13 Mile Rd Ste Ec
Royal Oak, MI 48073-6712
Phone (248) 898-0575

Other practice location 2

468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone (313) 473-6899

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eorourke86961@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150624001187 MI Practitioner - Physician Assistant 8325359847 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.64 of 100Reported as group
Quality
85.06
Promoting interoperability
100
Improvement activities
40
Cost
77.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601007342MIMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: eorourke1249300@epic00.shdirect.org
  • Direct secure messaging: eorourke86961@direct.beaumont.edu

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1548640709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849",
            "telephone_number": "947-522-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36555 26 MILE ROAD",
            "address_2": "SUITE 1100",
            "city": "LENOX TOWNSHIP",
            "state": "MI",
            "postal_code": "48048",
            "telephone_number": "947-523-4040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 W 13 Mile Rd Ste Ec",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736712",
            "country_code": "US",
            "telephone_number": "248-898-0575",
            "fax_number": "248-898-4671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "468 Cadieux Rd",
            "address_purpose": "LOCATION",
            "city": "Grosse Pointe",
            "state": "MI",
            "postal_code": "482301507",
            "country_code": "US",
            "telephone_number": "313-473-6899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'ROURKE",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eorourke86961@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "36555 26 Mile Road",
            "address_2": "Suite 1100",
            "city": "Lenox Township",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lenox Township, MI

Sources for this page

Verify at the official NPI Registry.