MS. AMY LYNN-OPPERER BRODE (NPI# 1255345609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255345609 |
| Entity Type | Individual |
| Full Name | MS. AMY LYNN-OPPERER BRODE |
| Credential | DO |
| Practice Address |
4350 Jackson Rd Ste 350 Ann Arbor MI 48103-1889 |
| Mailing Address |
24 Frank Lloyd Wright Dr. Po Box 0446 Lobby J Ann Arbor MI 48106 |
| Practice Telephone | 7347128100 |
| Mailing Telephone | (734) 712-8100 |
| Mailing Fax Number | 7347128111 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2017-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 5101014854 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | RAILROAD MEDICARE | CB9133 | 01 |
| MI | 114930080 | 05 | |
| MI | BCBSM | 0E06273 | 01 |
| Street Address |
4350 JACKSON RD STE 350 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48103-1889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043839343 | Melissa Sylvia Danan Rilko | Social Worker | 1775 Timber Trail, Ann Arbor, MI 48103 | 2020-04-16 |
| 1427602929 | Ashwini Gulwadi, Pllc | Psychiatry & Neurology | 2100 S Main Street, Suite A, Unit 4, Ann Arbor, MI 48103 | 2019-08-01 |
| 1225593155 | Brent Aaron Reeve | Chiropractor | 203 S. Zeeb Rd., Suite 106, Ann Arbor, MI 48103 | 2019-02-05 |
| 1548746779 | Loren Camano Shkolnik | Registered Nurse | 3200 W Liberty Rd Ste C5, Ann Arbor, MI 48103 | 2018-07-11 |
| 1982193256 | Jacob B Nienhuis | Psychologist | 4488 Jackson Rd Ste 7b, Ann Arbor, MI 48103 | 2018-05-02 |
| 1053818633 | Regents of The University of Michigan | Eyewear Supplier (Equipment, not the service) | 380 Parkland Plz Ste 210, Ann Arbor, MI 48103 | 2018-04-10 |
| 1376052647 | Shivika Verma | Dentist | 3071 Signature Blvd, Apartment #f, Ann Arbor, MI 48103 | 2017-09-29 |
| 1881118206 | Harrison Udensi Igwe | Clinic/Center | 522 South Maple Stree, Ann Arbor, MI 48103 | 2017-07-27 |
| 1841727641 | Kathleen Murphy | Psychologist | 4141 Woodland Drive, Ann Arbor, MI 48103 | 2017-05-11 |
| 1972037133 | Jonathan Broek | Dietitian, Registered | 2920 Lakeview Dr, Ann Arbor, MI 48103 | 2017-04-14 |
| Find all providers in zip 48103 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699924399 | Cheng-yang Chang | Urology | 807 Asa Gray Dr Apt 401, Ann Arbor, MI 48105-3514 | 2008-09-17 |
| 1033279906 | David A. Burks | Urology | 2340 Londonderry Rd, Ann Arbor, MI 48104-4014 | 2006-12-11 |
| 1174639967 | Chin Ti Lin | Urology | 330 Meadow Creek Dr, Ann Arbor, MI 48105-3052 | 2006-08-22 |
| 1063481919 | Linda L Mcintire | Urology | 4540 Boulder Pond Dr, Ann Arbor, MI 48108-8595 | 2006-03-14 |
| 1447256912 | Keow Mei Goh | Urology | 1500 East Medical Center Drive, 2nd Floor Taubman Center Recp C, Ann Arbor, MI 48109-5330 | 2005-06-21 |
| 1154787604 | Abdulrahman Alruwaily | Urology | 1500 E Medical Center Dr, Tc 3875 Spc 5330, Ann Arbor, MI 48109-5000 | 2016-01-13 |
| 1679952006 | Michael A Fenstermaker | Urology | 1500 E Medical Center Dr, 3875 Tc, Spc 5330, Ann Arbor, MI 48109-5000 | 2015-05-19 |
| 1821482845 | John M Dibianco | Urology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2015-03-27 |
| 1659784460 | Spencer Charles Hiller | Urology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2014-06-09 |
| 1922428572 | Randy Vince Jr. | Urology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2014-04-22 |
| Find all providers in ANN ARBOR | ||||
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| 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.