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Oakwood Ambulatory, LLC

Organization Active NPI Foot & Ankle Surgery Podiatrist · Canton, MI

NPI 1700935285 · NPPES record last updated Jun 30, 2022

Key facts

NPI
1700935285
Entity type
Organization (NPI type 2)
Primary specialty
Foot & Ankle Surgery Podiatrist 213ES0103X
Legal business name
OAKWOOD AMBULATORY, LLC
Practice address
7300 N Canton Center Rd
Canton, MI 48187-1579
Phone
(734) 454-8001
NPI assigned
Jan 10, 2007
Organization subpart
No

Authorized official

Name
Lesley Willbrandt
Title
Sr. Director Beaumont Shared SVCS
Phone
(947) 522-1911

Corporate family (same tax ID) 32

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

View all 32

National Provider Directory

Tax ID family
Oakwood Ambulatory LLC (33 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist
Group: 193200000X MULTI-SPECIALTY GROUP		 213ES0103X Yes

Addresses

Primary practice location

7300 N Canton Center Rd
Canton, MI 48187-1579

Mailing address

26901 Beaumont Blvd
Southfield, MI 48033-3849

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 30, 2022.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1700935285",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871579",
            "telephone_number": "734-454-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKWOOD AMBULATORY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "WILLBRANDT",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_title_or_position": "SR. DIRECTOR BEAUMONT SHARED SVCS",
        "authorized_official_telephone_number": "947-522-1911"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

All providers in Canton, MI · Foot & Ankle Surgery Podiatrist in Michigan

Sources for this page

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