OAKWOOD GROUP IX, LLC (NPI# 1891973343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891973343 |
| Entity Type | Organization |
| Organization Name | OAKWOOD GROUP IX, LLC |
| Other Organization Name | OAKWOOD NEUROSCIENCE CENTER |
| Practice Address |
18101 Oakwood Blvd Suite 411 Dearborn MI 48124-4089 |
| Practice Telephone | 3139825290 |
| Mailing Telephone | 3139825290 |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-02-07 |
| Authorized Official Name | KATHY MALY (CHEIF OPERATING OFFICER) |
| Authorized Official Telephone | 3137914700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Oakwood Neuroscience Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720050917 | Oakwood Group Ix, LLC | Obstetrics & Gynecology | 18181 Oakwood Blvd, Suite 411, Dearborn, MI 48124-5032 | 2006-02-02 |
| Street Address |
18101 OAKWOOD BLVD SUITE 411 |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-4089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578568036 | Professional Emergency Care, P.C. | Internal Medicine | 18101 Oakwood Blvd, Emergency Medicine Department, Dearborn, MI 48124-4089 | 2005-06-20 |
| 1932706033 | Janette Torrico-woo | Registered Nurse | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-10-02 |
| 1528665577 | Nadia Farhat | General Acute Care Hospital | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-10-02 |
| 1992302053 | Sara Marquardt | Registered Nurse | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-10-02 |
| 1790382869 | Jennifer Anne Rotter | Registered Nurse | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-10-02 |
| 1184230054 | Ashley Stoeckle | Clinical Nurse Specialist | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-09-16 |
| 1841802584 | Lamise Mohana | Registered Nurse | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-08-22 |
| 1629687058 | Samantha Ross | Registered Nurse | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-07-31 |
| 1114535499 | Lauren E Krall | Registered Nurse | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-07-22 |
| 1649888959 | Layale Makki | Registered Nurse | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-07-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
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| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215361738 | Michigan Brain and Spine | Neurological Surgery | 18181 Oakwood Blvd, Suite 403, Dearborn, MI 48124-5032 | 2013-09-03 |
| 1598932964 | Mohammed H Alsaidi | Neurological Surgery | 18181 Oakwood Blvd, Suite 403, Dearborn, MI 48124-5032 | 2008-05-14 |
| 1326257015 | Tejpaul Singh Pannu | Neurological Surgery | 18181 Oakwood Blvd, Ste 403, Dearborn, MI 48124 | 2007-05-21 |
| 1447307558 | University Neurosurgical Associates, PC | Neurological Surgery | 18181 Oakwood Blvd, Ste 403, Dearborn, MI 48124-5032 | 2007-01-04 |
| 1043385784 | Fredrick S. Junn | Neurological Surgery | 18181 Oakwood Blvd, Ste 403, Dearborn, MI 48124 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861026205 | Clark J Okulski | Neurological Surgery | 15366 Windmill Pointe Dr, Grosse Pointe Park, MI 48230-1744 | 2020-02-25 |
| 1801371380 | Jagannathan Neurosurgical Institute Pllc | Neurological Surgery | 502 W Harrie St Fl 2, Newberry, MI 49868-1209 | 2018-10-01 |
| 1750871745 | Sara Saleh | Neurological Surgery | 1500 E Medical Center Dr Spc 5338, Ann Arbor, MI 48109-5338 | 2018-05-15 |
| 1639608664 | Aaron Rapp | Neurological Surgery | 3601 W 13 Mile Rd Dept, Gme Dept. Neurosurgery, Royal Oak, MI 48073-6712 | 2017-06-04 |
| 1386171775 | Inscribed Pllc | Neurological Surgery | 30400 Telegraph Rd Ste 350, Bingham Farms, MI 48025-5814 | 2017-05-16 |
| 1972956597 | University Neurosurgical Associates, PC | Neurological Surgery | 42450 Hayes Rd, Ste 100, Clinton Twp, MI 48038-6769 | 2016-07-19 |
| 1134579451 | Chad Claus | Neurological Surgery | 21080 Birchwood St, Farmington, MI 48336-5006 | 2016-06-17 |
| 1629451901 | Dejan Slavnic | Neurological Surgery | 42758 Georgetown, Novi, MI 48375-1766 | 2015-07-03 |
| 1467842955 | Institute of General and Endovascular Neurosurgery | Neurological Surgery | 1295 S. Linden Road, Suite A, Flint, MI 48532 | 2015-02-04 |
| 1437566783 | Dali Yin | Neurological Surgery | 4800 S Saginaw St Ste 1800, Flint, MI 48507 | 2014-07-18 |
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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.