Oakwood Group VIII LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OAKWOOD GROUP VIII LLC

Practice address

1611 Monroe St
Dearborn, MI 48124-2912

Phone

(313) 278-7100

NPI assigned

Feb 24, 2011

Last updated

Oct 21, 2021By 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

Lee Ann Odom

Title

President Shared Services

Phone

(947) 522-3326

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 5

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.

• Michael D Bork, DO

  • Maternal & Fetal Medicine Physician
  • Wyandotte, MI
  • NPI 1659342152
  NPD (past)
• Sara H Garmel, MD

  • Maternal & Fetal Medicine Physician
  • Dearborn, MI
  • NPI 1285685503
  NPD (past)
• Tarek Salim Hadla, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Southfield, MI
  • NPI 1568636629
  NPD (past)
• David Moses, MD

  • Maternal & Fetal Medicine Physician
  • Dearborn, MI
  • NPI 1952389231
  NPD (past)
• Mark E Redman, MD

  • Maternal & Fetal Medicine Physician
  • Beverly Hills, MI
  • NPI 1861470296
  NPD (past)

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1649577891",
    "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": "1611 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242912",
            "telephone_number": "313-278-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKWOOD GROUP VIII LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-24",
        "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": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "1649577891",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "700H270490",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA/RAILROAD",
            "identifier": "DR6453",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649577891",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "700H270490",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oakwood Dental PC
• Oakwood Dental PLLC
• Oakwood Dentists P.L.L.C.
• Oakwood Group IX, LLC
• Oakwood Group IX, LLC
• Oakwood Group X LLC
• Oakwood Health Promotions, Inc. (Beaumont Rehabilitation & Continuing Care, Dearborn)
• Oakwood Health System
• Oakwood Healthcare Group
• Oakwood Healthcare Group I, LLC

• Family Medicine Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Family Medicine 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.