OSH-MI PHYSICIANS GROUP PC (NPI# 1700236478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700236478 |
| Entity Type | Organization |
| Organization Name | OSH-MI PHYSICIANS GROUP PC |
| Practice Address |
18600 Fenkell St Detroit MI 48223-2315 |
| Mailing Address |
30 W Monroe St Ste 1200 Chicago IL 60603-2420 |
| Practice Telephone | 3127339730 |
| Mailing Telephone | 3127339730 |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2020-03-18 |
| Authorized Official Name | GRIFFIN MYERS (PRESIDENT/CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 3126008484 |
| Authorized Official Credential | M.D., M.B.A. |
| Is Organization Subpart | Y |
| Parent Organization Name | OAK STREET HEALTH MSO LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033766092 | Osh-mi Physicians Group PC | Clinic/Center | 1007 Summit Ave, Greensboro, NC 27405-7007 | 2019-08-23 |
| Street Address |
18600 FENKELL ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48223-2315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366946659 | From Heavens Joy Assisted Care Support Services LLC | Social Worker | 14179 Evergreen Rd, Detroit, MI 48223 | 2018-03-21 |
| 1164921144 | Kyara Mccraney | Licensed Practical Nurse | 12725 Riverview St, Detroit, MI 48223 | 2018-02-06 |
| 1922516384 | Cynthia Clair Reese | Nursing Home Administrator | 22625 Glendale, Det, MI 48223 | 2018-01-18 |
| 1629590609 | Marie Davis | Nursing Care | 14049 Minock St, Detroit, MI 48223 | 2017-07-12 |
| 1740726488 | Tanisha Smith | Behavior Technician | 14620 Faust Ave, Detroit, MI 48223 | 2017-01-18 |
| 1518418730 | Tamica K Boyd | Emergency Medical Technician, Basic | 15890 Lamphere, Detroit, MI 48223 | 2016-10-24 |
| 1831596832 | Walter Ector | Counselor | 14243 Minock, Detroit, MI 48223 | 2014-11-20 |
| 1336568542 | Sheryl A Ali | Registered Nurse | 12811 Hazelton Street, Detroit, MI 48223 | 2014-04-15 |
| 1255667556 | Abyssinia Love Knot Physical Therapy LLC | Physical Medicine & Rehabilitation | 15340 Southfield Freeway, Suite 1-a, Detroit, MI 48223 | 2009-10-22 |
| 1629243902 | Glenda Faye Smith | Massage Therapist | 15041 Faust, Detroit, MI 48223 | 2008-04-28 |
| Find all providers in zip 48223 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427419662 | Shoaib A Rasheed | Internal Medicine | 250 Mcdougall St, Detroit, MI 48207-4291 | 2016-03-16 |
| 1326274473 | Saket Anand Saxena | Internal Medicine | 1 Ford Pl # 2f51, Detroit, MI 48202-3450 | 2009-06-03 |
| 1962572404 | Medical Care of Michigan LLC | Internal Medicine | 10330 W 7 Mile Rd, Detroit, MI 48221-1963 | 2006-11-09 |
| 1700827680 | Vasan H Deshikachar | Internal Medicine | 11803 Grand River Ave, Detroit, MI 48204-1810 | 2006-06-09 |
| 1386025930 | Omnia Dia Awad | Internal Medicine | 4201 Saint Antoine St Ste 2e, Detroit, MI 48201-2153 | 2015-06-09 |
| 1205275542 | Hasan Arrat | Internal Medicine | 7430 2nd Ave Ste 210, Detroit, MI 48202-2705 | 2013-06-20 |
| 1588732028 | Gwendolyn R. Graddy | Internal Medicine | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2006-12-01 |
| 1629082672 | Laxmi Raman Chigurupati | Internal Medicine | 4646 John R St, Detroit, MI 48201-1916 | 2006-07-27 |
| 1164451951 | Barbara Jean Siepierski | Internal Medicine | 4646 John R St, 11g, Detroit, MI 48201-1916 | 2006-07-02 |
| 1770527517 | Anchor Senior Medical Services Pllc | Internal Medicine | 11803 Grand River Ave, Detroit, MI 48204-1810 | 2006-06-15 |
| Find all providers in DETROIT | ||||
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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.