Organization Active NPI

Omega Specialty Group PLC

  • Family Medicine Physician
  • Detroit, MI
National Provider Identifier
1841081908
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OMEGA SPECIALTY GROUP PLC
Practice address
18570 Grand River Ave Ste 102
Detroit, MI 48223-2201
Phone
(313) 646-4681
Fax
(313) 646-4687
NPI assigned
May 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Authorized official

Name
Michael Carter
Title
Owner
Phone
(313) 646-5180

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Pain Clinic/Center 261QP3300X

Addresses

Primary practice location

18570 Grand River Ave Ste 102
Detroit, MI 48223-2201

Mailing address

18570 Grand River Ave Ste 102
Detroit, MI 48223-2201
Phone (313) 646-4681

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1747353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1841081908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18570 GRAND RIVER AVE STE 102",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232201",
            "telephone_number": "313-646-4681",
            "fax_number": "313-646-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18570 GRAND RIVER AVE STE 102",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232201",
            "telephone_number": "313-646-4681",
            "fax_number": "313-646-4687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA SPECIALTY GROUP PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-646-5180"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.