OAKWOOD HEALTHCARE GROUP I LLC NPI 1689723447

NPI Information

NPI: 1689723447
Provider Name: OAKWOOD HEALTHCARE GROUP I, LLC
Classification: Nurse Practitioner - 363LN0000X
Entity Type: Organization

Specialization: Neonatal

Address:
18101 OAKWOOD BLVD
DIVISION OF NEONATOLOGY
DEARBORN, MI
ZIP 48124
Phone: (313) 593-7490
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OAKWOOD HEALTHCARE GROUP I, LLC is a neonatal nurse practitioner in Dearborn, MI. OAKWOOD HEALTHCARE GROUP I, LLC NPI is 1689723447. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

18101 OAKWOOD BLVD
DIVISION OF NEONATOLOGY
DEARBORN, MI
ZIP 48124-089
Phone: (313) 593-7490

The provider's authorized official is Lee Ann Odom .
The authorized official title is President Shared Services and has the following contact phone number (947) 522-3326.

The enumeration date for this NPI number is 1/10/2007 and was last updated on 10/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LN0000X	Nurse Practitioner	Neonatal			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500H228380	OTHER		BCBS OF MI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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