Active NPI
VDM of Michigan
- Primary Care Clinic/Center
- Clinton Township, MI
National Provider Identifier
1801636121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- VDM OF MICHIGAN
- Practice address
- 43211 Dalcoma Dr Ste 6
Clinton Township, MI 48038-6309 - Phone
- (979) 900-7151
- Fax
- (800) 878-3830
- NPI assigned
- May 27, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marilou Oro, DNP
- Title
- Authorized Member
- Phone
- (346) 471-8251
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Primary Care Clinic/Center | 261QP2300X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
43211 Dalcoma Dr Ste 6
Clinton Township, MI 48038-6309
Mailing address
11200 Broadway St Ste 2743
Pearland, TX 77584-9787
Phone (800) 409-1920
Other names 1
- Visiting Doctors
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717372800000",
"number": "1801636121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11200 BROADWAY ST STE 2743",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775849787",
"telephone_number": "800-409-1920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43211 DALCOMA DR STE 6",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480386309",
"telephone_number": "979-900-7151",
"fax_number": "800-878-3830"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VDM OF MICHIGAN",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-27",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A",
"authorized_official_last_name": "ORO",
"authorized_official_first_name": "MARILOU",
"authorized_official_title_or_position": "AUTHORIZED MEMBER",
"authorized_official_telephone_number": "346-471-8251",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Visiting Doctors",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.