OSH-MI PHYSICIANS GROUP PC (NPI# 1033766092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033766092 |
| Entity Type | Organization |
| Organization Name | OSH-MI PHYSICIANS GROUP PC |
| Practice Address |
1007 Summit Ave Greensboro NC 27405-7007 |
| Mailing Address |
30 W Monroe St Ste 1200 Chicago IL 60603-2420 |
| Practice Telephone | 3362007010 |
| Practice Fax Number | 7047108592 |
| Mailing Telephone | 3127339730 |
| Mailing Fax Number | 7738668014 |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2020-03-03 |
| Authorized Official Name | GRIFFIN ROBERT MYERS (PRESIDENT) |
| Authorized Official Telephone | 3126008484 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | OSH MI PHYSICIANS GROUP PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | LICENSE NUMBER | 2017-00292 | 01 |
| Other Name | Type Code |
|---|---|
| OSH NC Physicians Group, PC | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3250 Freedom Dr, Charlotte, NC 282082817 | 7047096009 | 7048990470 |
| 6824 Harrisburg Rd, Charlotte, NC 282273389 | 3127339730 | 7047616886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700236478 | Osh-mi Physicians Group PC | Internal Medicine | 18600 Fenkell St, Detroit, MI 48223-2315 | 2016-06-14 |
| Street Address |
1007 SUMMIT AVE |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27405-7007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801816905 | Andrew S. Lamb | Internal Medicine | 1007 Summit Ave, Greensboro, NC 27405-7007 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477038727 | Miya Jackson | Behavior Technician | 2308 Golden Gate Dr, Apt G, Greensboro, NC 27405 | 2018-10-02 |
| 1821576299 | Woodrow Eric Bradley | Day Training/Habilitation Specialist | 1403 Woocbriar Ave, Greensboro, NC 27405 | 2018-07-30 |
| 1922593094 | Constance Foushee | Nurse Practitioner | 1100 E. Wendover, Greensboro, NC 27405 | 2018-06-29 |
| 1760972434 | Ayana Linette Holland | Home Health Aide | 1417 Old Hickory Dr, Greensboro, NC 27405 | 2018-05-17 |
| 1790294700 | G. Antoine Gray | Specialist | 2100 Phillips Avenue, Suite B, Greensboro, NC 27405 | 2017-09-21 |
| 1306375910 | Wendy Carisa Boger | Registered Nurse | 1100 East Wendover Avenue, Greensboro, NC 27405 | 2017-06-07 |
| 1659827715 | Changing Paths Counseling Center Pllc | Community/Behavioral Health | 1600 E Wendoer Ave., Suite C, Greensboro, NC 27405 | 2016-08-29 |
| 1295187896 | Amanda Kirby Counseling, PC | Counselor | 1175 Revolution Mill Drive, Suite 29-2, Greensboro, NC 27405 | 2016-07-07 |
| 1780049429 | Pta | Residential Treatment Facility, Physical Disabilities | 1900 Sheldon Road, Greensboro, NC 27405 | 2015-12-23 |
| 1841655644 | Amaya Nicole Hardy | Counselor | 1600r E Wendover Ave Ste R, Greensboro, NC 27405 | 2015-12-21 |
| Find all providers in zip 27405 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194233403 | Futuremed Evening Clinic Pllc | Clinic/Center | 2003 Boulevard St Ste C, Greensboro, NC 27407-4579 | 2018-01-21 |
| 1316227739 | Shalom Pediatric Clinic | Clinic/Center | 2806 Randleman Rd, Suite M, Greensboro, NC 27406-5265 | 2011-08-17 |
| 1285865329 | Wayland W Mckenzie Md Pa | Clinic/Center | 500 Banner Ave Ste A, Greensboro, NC 27401-3284 | 2009-08-06 |
| 1154540078 | William Ray Mcginty Jr. | Clinic/Center | 1060 Greshams Ft, Greensboro, GA 30642-4888 | 2007-04-25 |
| 1235273509 | Wayland Wilson Mckenzie | Clinic/Center | 500 A Banner Ave, Greensboro, NC 27401-3284 | 2007-02-19 |
| 1871522003 | General Medical Clinic, Pa | Clinic/Center | 3710w Gate City Blvd, Greensboro, NC 27407-4646 | 2006-07-01 |
| 1306884069 | United Youth Care Services | Clinic/Center | 1207 4th Street, Greensboro, NC 27405 | 2006-06-03 |
| 1730625518 | Cone Center for Children | Clinic/Center | 301 E Wendover Ave, Suite 400, Greensboro, NC 27401-1230 | 2017-01-17 |
| 1851744627 | Moses Cone Medical Services, Inc. | Clinic/Center | 1581 Yanceyville St, Greensboro, NC 27405-6958 | 2016-07-18 |
| 1881054922 | Serenity Rehabilitation Services | Clinic/Center | 2216 W Meadowview Rd, Greensboro, NC 27407-3406 | 2016-03-02 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27405 |
Please comment or provide details below to improve the information on OSH-MI PHYSICIANS GROUP PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.