Organization Active NPI

Allied Medical Group PLC

Doing business as Oakwood South Canton

  • Internal Medicine Physician
  • Canton, MI
National Provider Identifier
1780858795
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301074948 Issued in MI
Legal business name
ALLIED MEDICAL GROUP PLC
Doing business as
Oakwood South Canton
Practice address
42287 Cherry Hill Rd
Suite D
Canton, MI 48188-1975
Phone
(734) 981-1206
Fax
(734) 981-1299
NPI assigned
Apr 22, 2008
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Autumn Hayes
Title
Enrollment Specialist
Phone
(313) 586-5011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301074948 MI Primary

Addresses

Primary practice location

42287 Cherry Hill Rd
Suite D
Canton, MI 48188-1975

Mailing address

43544 Cedarhurst Dr
Belleville, MI 48111-4572
Phone (734) 981-1206

Other names 1

  • Oakwood South Canton Doing business as

National Provider Directory

National Provider Directory

Locations

42287 Cherry Hill Rd
Ste D
Canton, MI 48188
Phone (734) 667-5218

Practitioners & affiliated clinicians

Practitioners 1

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": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1780858795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43544 CEDARHURST DR",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481114572",
            "telephone_number": "734-981-1206",
            "fax_number": "734-981-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42287 CHERRY HILL RD",
            "address_2": "SUITE D",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481881975",
            "telephone_number": "734-981-1206",
            "fax_number": "734-981-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED MEDICAL GROUP PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "AUTUMN",
        "authorized_official_title_or_position": "ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "313-586-5011"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301074948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakwood South Canton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.