OAKWOOD YOUNG PROGRAMS, LLC


Address: 25650 Outer Dr, Lincoln Park, MI 48146-2096
Phone: 3135941510

OAKWOOD YOUNG PROGRAMS, LLC (NPI# 1164571824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164571824
Entity Type Organization
Organization Name OAKWOOD YOUNG PROGRAMS, LLC
Practice Address 25650 Outer Dr
Lincoln Park
MI 48146-2096
Mailing Address Po Box 67000
Dept 213001
Detroit
MI 48267-0002
Practice Telephone 3135941510
Mailing Telephone 3132407300
Enumeration Date 2007-01-10
Last Update Date 2020-08-22
Authorized Official Name DAVID IPPEL (AMBULATORY DIVISION PRESIDENT)
Authorized Official Telephone 3137914558
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0008X Pediatrics
Specialization: Neurodevelopmental Disabilities
Allopathic & Osteopathic Physicians

Office Location

Street Address 25650 OUTER DR
City LINCOLN PARK
State MI
Zip Code 48146-2096

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487695920 Occupational and Rehabailitation Medicine, PC Specialist 25650 Outer Dr, Ste 500, Lincoln Park, MI 48146-2096 2006-06-08
1447763230 Whitney Renee White Nurse Practitioner 25650 Outer Dr, Lincoln Park, MI 48146-2096 2017-11-15
1598293987 Rebecca J Schwarcz Dentist 25650 Outer Dr, Lincoln Park, MI 48146-2096 2017-05-30
1053705269 Western Wayne Family Health Centers Clinic/Center 25650 Outer Dr, Lincoln Park, MI 48146-2096 2015-03-25
1710306055 Gregory Treado Pediatrics 25650 Outer Dr, Lincoln Park, MI 48146-2096 2014-04-15
1508280116 Western Wayne Family Health Centers Clinic/Center 25650 Outer Dr, Lincoln Park, MI 48146-2096 2014-02-18
1700129251 Brooke Bendix Social Worker 25650 Outer Dr, Lincoln Park, MI 48146-2096 2013-04-03
1841433588 Michigan Visiting Physicians PC General Practice 25650 Outer Dr, Suite 401, Lincoln Park, MI 48146-2096 2009-04-10
1447499694 Meridian Medical Pllc Clinic/Center 25650 Outer Dr, Suite 400, Lincoln Park, MI 48146-2096 2009-02-11
1982766192 Oakwood Ambulatory, LLC Internal Medicine 25650 Outer Dr, Lincoln Park, MI 48146-2096 2006-12-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356967251 Luisa Sofia Amaya Behavior Technician 1360 Porter Ave, Lincoln Park, MI 48146 2020-06-17
1851854129 Abhi Patel Physical Therapist 25050 W. Outer Dr, Ste: 204, Lincoln Park, MI 48146 2019-04-12
1831608827 Back On Track Physical Therapy LLC Clinic/Center 1132 Southfield Road, Lincoln Park, MI 48146 2017-09-22
1326568221 Priscilla Cano Social Worker 1600 Porter, Detroit, MI 48146 2017-06-21
1952650194 Melissa Margaret Belinc Psychologist 26300 Outer Drive, Lincoln Park, MI 48146 2012-09-04
1497011746 Richard John Daniels Physical Therapy Assistant 1538 Morris, Lincoln Park, MI 48146 2012-04-11
1740563261 Myesha Renee Thurman Social Worker 26180 W. Outer Drive, Lincoln Park, MI 48146 2011-09-21
1033491162 Heidi Bremer Social Worker 26180 West Outer Drive, Lincoln Park, MI 48146 2011-09-14
1871823526 Richard Dale Mott Counselor 1564 Arlington, Lincoln Park, LA 48146 2009-12-31
1386801777 Laura Ann Kaakati-weber Psychologist 26184 West Outer Drive, Lincoln Park, MI 48146 2008-05-22
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Taxonomy Information

Taxonomy Code 2080P0008X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neurodevelopmental Disabilities

Taxonomy Definition

A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982904587 Spectrum Health Primary Care Partners Pediatrics 550 W Grand Ave, Muskegon, MI 49441-2336 2010-10-28
1730354994 Kheir Al Zouhayli Md PC Pediatrics 1639 E Big Beaver, 104, Troy, MI 48083 2008-04-28
1528048501 Yasser Awaad Pediatrics 1331 Monroe St, Dearborn, MI 48124-2888 2006-01-18
1922582196 Spectrum Health Primary Care Partners Pediatrics 360 Lafayette Ave Se Ste 400, Grand Rapids, MI 49503-4677 2018-09-24
1669779005 Spectrum Health Primary Care Partners Pediatrics 100 Pine St, Suite 225, Zeeland, MI 49464-2600 2011-02-22
1578860912 Spectrum Health Primary Care Partners Pediatrics 700 Fuller Ave Ne, Grand Rapids, MI 49503-1918 2011-02-22
1710104187 Genesys Regional Medical Center Pediatrics 4642 Genesys Pkwy, Grand Blanc, MI 48439-8067 2007-04-19
1962543660 Colleen Noble Pediatrics 461 W Huron St, Nomc Developmental Pediatrics, Pontiac, MI 48341-1601 2007-02-08
1538205539 Vivek Baluja Pediatrics 35 Michigan St Ne, Suite 3003, Grand Rapids, MI 49503-2514 2007-01-29
1740375914 Douglas G Postels Pediatrics 804 Service Rd, A217, East Lansing, MI 48824-7015 2006-10-04
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Competitor

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City LINCOLN PARK
Zip Code 48146

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Dataset Information

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.

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