Active NPI
Oakwood Group IX, LLC
- Neurological Surgery Physician
- Dearborn, MI
National Provider Identifier
1891973343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- OAKWOOD GROUP IX, LLC
- Practice address
- 18101 Oakwood Blvd
Suite 411
Dearborn, MI 48124-4089 - Phone
- (313) 982-5290
- NPI assigned
- Feb 7, 2008
- 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
- Kathy Maly
- Title
- Cheif Operating Officer
- Phone
- (313) 791-4700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
Primary practice location
18101 Oakwood Blvd
Suite 411
Dearborn, MI 48124-4089
Mailing address
18101 Oakwood Blvd
Suite 411
Dearborn, MI 48124-4089
Phone (313) 982-5290
Other names 1
- Oakwood Neuroscience Center
National Provider Directory
National Provider Directory- Tax ID family
- Oakwood Group IX LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Registered Dietitian
- Taylor, MI
- NPI 1013073402
-
- Neurological Surgery Physician
- Monroe, MI
- NPI 1447471750
Locations
18101 Oakwood Blvd
Ste 411
Dearborn, MI 48124
Phone (313) 438-7373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202342400000",
"number": "1891973343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18101 OAKWOOD BLVD",
"address_2": "SUITE 411",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481244089",
"telephone_number": "313-982-5290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18101 OAKWOOD BLVD",
"address_2": "SUITE 411",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481244089",
"telephone_number": "313-982-5290"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAKWOOD GROUP IX, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-07",
"last_updated": "2008-02-07",
"status": "A",
"authorized_official_last_name": "MALY",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "CHEIF OPERATING OFFICER",
"authorized_official_telephone_number": "313-791-4700"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Oakwood Neuroscience Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.