Omed Physicians Group PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301060904 Issued in MI

Legal business name

OMED PHYSICIANS GROUP PC

Practice address

23155 Northwestern Hwy
Suite 104
Southfield, MI 48075-7703

Phone

(248) 809-6906

Fax

(248) 809-6906

NPI assigned

Aug 26, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Surinder Mendirata, M.D.

Title

President/Owner

Phone

(248) 809-6806

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1962836957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23155 NORTHWESTERN HWY",
            "address_2": "SUITE 104",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480757703",
            "telephone_number": "248-809-6906",
            "fax_number": "248-809-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23155 NORTHWESTERN HWY",
            "address_2": "SUITE 104",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480757703",
            "telephone_number": "248-809-6906",
            "fax_number": "248-809-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMED PHYSICIANS GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-26",
        "last_updated": "2013-08-26",
        "status": "A",
        "authorized_official_last_name": "MENDIRATA",
        "authorized_official_first_name": "SURINDER",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "248-809-6806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301060904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kia Cierra Ann Olson
• Lyndsay Olszewski
• Irfan Omar, M.D
• Yazan Omari, MD
• Omed Home Healthcare, Inc.
• Omega Home Healthcare Services
• Beth Omtvedt
• On Call Nurses Staffing Agency
• On Point Home Care
• Oncology Associates PC

• Family Medicine Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.