NPIMap

Organization Active NPI

First Ideal Enterprises Inc.

  • General Practice Physician
  • Southfield, MI
National Provider Identifier
1740478270
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
AO060924 Issued in MI
Legal business name
FIRST IDEAL ENTERPRISES INC.
Practice address
21700 Northwestern Hwy
Suite 801
Southfield, MI 48075-4906
Phone
(248) 440-0920
Fax
(248) 440-0929
NPI assigned
Oct 10, 2007
Last updated
Apr 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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

Authorized official

Name
Dr. Adekunle Emmanuel Oshiyoye, M.D.
Title
Ceo
Phone
(248) 440-0920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X AO060924 MI Primary

Addresses

Primary practice location

21700 Northwestern Hwy
Suite 801
Southfield, MI 48075-4906

Mailing address

PO Box 251062
W Bloomfield, MI 48325-1062
Phone (248) 440-0920

Other identifiers 1

IdentifierTypeStateIssuer
0F33532OtherMIBLUE CROSS BLUE SHIELD

Other names 1

  • Ideal Home Physicians PC Other name

National Provider Directory

National Provider Directory

Locations

31690 W 12 Mile Rd
Ste 100
Farmington Hills, MI 48334
Phone (248) 702-0838

21700 Northwestern Hwy
Ste 801
Southfield, MI 48075
Phone (248) 440-0920

5600 W Maple Rd
Ste D414
West Bloomfield, MI 48322
Phone (248) 562-7616

Practitioners & affiliated clinicians

Practitioners 7

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": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1740478270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251062",
            "city": "W BLOOMFIELD",
            "state": "MI",
            "postal_code": "483251062",
            "telephone_number": "248-440-0920",
            "fax_number": "248-440-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21700 NORTHWESTERN HWY",
            "address_2": "SUITE 801",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754906",
            "telephone_number": "248-440-0920",
            "fax_number": "248-440-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST IDEAL ENTERPRISES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "OSHIYOYE",
        "authorized_official_first_name": "ADEKUNLE",
        "authorized_official_middle_name": "EMMANUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-440-0920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "AO060924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0F33532",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ideal Home Physicians PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.