Oakwood Medical Practices, PLLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

OAKWOOD MEDICAL PRACTICES, PLLC

Practice address

18181 Oakwood Blvd
Ste 403
Dearborn, MI 48124-5032

Phone

(313) 996-7322

NPI assigned

Jan 10, 2011

Organization subpart

Yes

Parent organization

OAKWOOD HEALTHCARE INCAs reported in NPPES

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 3

Addresses

Part of

Annapolis Hos

Locations

Practitioners 2

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

• Jill Ann Matson, CPNP

  • Nurse Practitioner
  • Ann Arbor, MI
  • NPI 1023283256
  NPD (past)
• Christine Andrea Zakar, P.A.-C.

  • Surgical Physician Assistant
  • Boulder, CO
  • NPI 1851521389
  NPD (past)

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1750685491",
    "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": "18181 OAKWOOD BLVD",
            "address_2": "STE 403",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481245032",
            "telephone_number": "313-996-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKWOOD MEDICAL PRACTICES, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OAKWOOD HEALTHCARE INC",
        "enumeration_date": "2011-01-10",
        "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": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oakwood Healthcare, Inc.
• Oakwood Hospital
• Oakwood Hospital
• Oakwood Hospital and Medical Center
• Oakwood Hospital and Medical Center
• Oakwood Neurology Associates PLLC
• Oakwood Youth Programs, LLC
• Oakwook Healthcare Systems
• Aiyah Abdulwahab Obad
• Layla Obad

• Neurological Surgery Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Neurological Surgery 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.