Individual provider Active NPI

Sharon Obuzor, FNP

  • Family Nurse Practitioner
  • Southfield, MI
National Provider Identifier
1902473911
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704298870 Issued in MI
Practice address
20755 Greenfield Rd Ste 100
Southfield, MI 48075-5400
Phone
(248) 557-0507
NPI assigned
Jun 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704298870 MI Primary

Addresses

Primary practice location

20755 Greenfield Rd Ste 100
Southfield, MI 48075-5400

Mailing address

33705 Regal
Fraser, MI 48026-1738
Phone (586) 843-6491

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bh226795@beaumont.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230310001233 MI Practitioner - Nurse Practitioner 7719350867 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704298870MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Dec 7, 2022 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Dec 7, 2022 Accepting new patients

Locations

27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326

11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000

Interoperability endpoints

  • Direct secure messaging: sobuzor1143258@direct.hfhs.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1902473911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33705 REGAL",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480261738",
            "telephone_number": "586-843-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20755 GREENFIELD RD STE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755400",
            "telephone_number": "248-557-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBUZOR",
        "first_name": "SHARON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704298870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bh226795@beaumont.org",
            "affiliation": "N",
            "address_1": "20755 Greenfield Rd Ste 100",
            "city": "Southfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480755400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.