Octavetien Rogers

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

699577 Issued in MI

Legal business name

OCTAVETIEN ROGERS

Practice address

221 N Silvery LN
Dearborn, MI 48128-1593

Phone

(313) 914-2102

NPI assigned

Nov 14, 2008

Organization subpart

No

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

Authorized official

Name

Octavetien Rogers

Title

Ceo

Phone

(313) 914-2102

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sunanda Nioguy, MD

  • Neurology Physician
  • Oak Park, MI
  • NPI 1427197417
  NPD (past)

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1972757193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 N SILVERY LN",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281593",
            "telephone_number": "313-914-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N SILVERY LN",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281593",
            "telephone_number": "313-914-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCTAVETIEN ROGERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-14",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "OCTAVETIEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-914-2102"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MI",
            "license": "699577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammed Muaz Obeid, D.O.
• Zafer Obeid, M.D
• Mona Z Obeidy, MD
• Jayden Oberg
• Alexandrea Beatrice Ochab, PA-C
• Ruba Odeh, PHARM.D.
• Asma Odeif
• Emmalee Odonnell
• Mary Orlanda Ogunbiyi
• Adijat Ogunyemi, SOCIAL WORKER

• Health Service Clinic/Center in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Health Service Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; 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.