OPDYKE DIAGNOSTIC CENTER PLC (NPI# 1881836435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881836435 |
| Entity Type | Organization |
| Organization Name | OPDYKE DIAGNOSTIC CENTER PLC |
| Practice Address |
10740 Dixie Hwy Davisburg MI 48350-1123 |
| Mailing Address |
719 S Opdyke Rd Auburn Hills MI 48326-3436 |
| Practice Telephone | 2486257007 |
| Practice Fax Number | 2486250314 |
| Mailing Telephone | 2488744908 |
| Mailing Fax Number | 2488744370 |
| Enumeration Date | 2009-03-28 |
| Last Update Date | 2009-03-28 |
| Authorized Official Name | DR. MATTHEW KULICK (PRESIDENT/OWNER) |
| Authorized Official Telephone | 2483332600 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | Y |
| Parent Organization Name | OPDYKE DIAGNOSTIC CENTER PLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 700F339930 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982888582 | Opdyke Diagnostic Center Plc | Specialist | 719 S Opdyke Rd, Auburn Hills, MI 48326-3436 | 2007-12-19 |
| Street Address |
10740 DIXIE HWY |
| City | DAVISBURG |
| State | MI |
| Zip Code | 48350-1123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063520435 | Pine Knob Pharmacy 5 Inc | Pharmacy | 10740 Dixie Hwy, Davisburg, MI 48350-1123 | 2006-08-27 |
| 1174866982 | North Oakland Family Medical, PC | General Practice | 10740 Dixie Hwy, Davisburg, MI 48350-1123 | 2013-03-29 |
| 1538464953 | Ramla Shahab Moghul | Family Medicine | 10740 Dixie Hwy, Davisburg, MI 48350-1123 | 2011-01-15 |
| 1598933772 | Pine Knob Pharmacy #5 | Durable Medical Equipment & Medical Supplies | 10740 Dixie Hwy, Davisburg, MI 48350-1123 | 2008-02-11 |
| 1225119324 | Courtney Elizabeth Plas | Pharmacist | 10740 Dixie Hwy, Davisburg, MI 48350-1123 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720283856 | Mark Allen Dennis | Dentist | 16104 Dixie Hwy, Davisburg, MI 48350 | 2007-06-19 |
| 1497848121 | William Sophiea | Psychologist | 6887 Dixie, Hwy, Clarkston, MI 48350 | 2006-10-02 |
| 1376641803 | Bonnie Sue Blanzy | Counselor | 12850 Fountain Sq., Ste. 106, Davisburg, MI 48350 | 2006-09-20 |
| 1194207548 | Christopher Elliot | Nurse Practitioner | 6690 Rolling Meadow Dr, Davisburg, MI 48350 | 2018-09-02 |
| 1841384328 | Elise Finch-sophiea | Social Worker | 6887 Dixie Hwy, Clarkston, MI 48350 | 2006-10-02 |
| 1881144830 | New Horizons Rehabilitation Services, Inc | Day Training, Developmentally Disabled Services | 10445 Dixie Hwy, Davisburg, MI 48350-1308 | 2016-10-13 |
| 1033622667 | Julie Ann Bise | Registered Nurse | 10555 Enterprise Dr Ste 314, Davisburg, MI 48350-1338 | 2017-11-06 |
| 1093960585 | Mary Boyhtari | Dietitian, Registered | 9171 Tindall Rd, Davisburg, MI 48350-1625 | 2008-11-25 |
| 1992258065 | Alyssa Ponkey | Technician, Other | 12415 Windcliff, Davisburg, MI 48350-1680 | 2016-07-26 |
| 1245434091 | Sheila Manchen | Registered Nurse | 9260 Osprey Bay Cir, Davisburg, MI 48350-1717 | 2007-06-14 |
| Find all providers in zip 48350 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1750995361 | Advanced Spinal Reconstruction Pllc | Specialist | 972 Chesterfield Ave, Birmingham, MI 48009-1223 | 2020-09-01 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1235765827 | Magic Touch Salon | Specialist | 746 Burton St Se, Grand Rapids, MI 49507-3204 | 2020-03-16 |
| 1144865411 | Yasmeen Global Beauty Group | Specialist | 21701 W 11 Mile Rd Ste 7, Southfield, MI 48076-3713 | 2019-11-11 |
| 1255990552 | Kboose | Specialist | 3008 Juneberry Ave Se, Grand Rapids, MI 49508-1523 | 2019-06-10 |
| 1124685789 | Grooming Arts Lounge and Gallery | Specialist | 19520 Dorset St, Southfield, MI 48075-7112 | 2019-05-20 |
| 1144787326 | At Home Physician Management Group Co. | Specialist | 27440 Hoover Rd Ste C, Warren, MI 48093-7726 | 2019-02-25 |
| 1821561200 | Bailee J Moffitt | Specialist | 913 W Holmes Rd Unit 200, Lansing, MI 48910-0426 | 2019-01-08 |
| 1871064808 | Shanna E Cook | Specialist | 20843 Garden Ln, Ferndale, MI 48220-2217 | 2018-12-17 |
| Find all providers with the same taxonomy | ||||
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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.