Andrea Bynum Clegg (NPI# 1285612861, PAC ID# 3375504681) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1285612861 |
| PAC ID by PECOS | 3375504681 |
| Professional Enrollment ID | I20041020000858 |
| Full Name | Andrea Bynum Clegg |
| Organization Legal Name | OAKWOOD AMBULATORY LLC |
| Address |
22060 Beech St Suite 200 Dearborn MI 48124-2853 |
| Phone Number | 3132280505 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2003 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1850282914 |
| Number of Group Practice Members | 279 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230020 | BEAUMONT HOSPITAL - DEARBORN |
| Address | Phone | Organization |
|---|---|---|
| 22060 Beech St, Suite 200, Dearborn, MI 48124-2853 | 3132280505 | OAKWOOD AMBULATORY LLC |
| 12100 S Huron River Dr, Romulus, MI 48174-1119 | 7349411070 | OAKWOOD AMBULATORY LLC |
| Organization Legal Name | OAKWOOD AMBULATORY LLC |
| Physicians | 313 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mayssara Jubori | Internal Medicine | Oakwood Ambulatory LLC | 4700 Schaefer Rd, Suite 240, Dearborn, MI 48126-3743 |
| Harrison Scott Vogel | Family Medicine | Oakwood Ambulatory LLC | 8545 Common Rd, Suite 280, Warren, MI 48093-6775 |
| Christopher Lajeunesse | Family Medicine | Oakwood Ambulatory LLC | 2001 S Merriman Rd, Suite 100, Westland, MI 48186-5540 |
| Karoon Smbatt | Internal Medicine | Oakwood Ambulatory LLC | 15777 Northline Rd, Suite 200, Southgate, MI 48195-2354 |
| Amanda Therese Wuebben | Nurse Practitioner | Oakwood Ambulatory LLC | 5452 Fort St, Suite 200, Trenton, MI 48183-4638 |
| Bekeza Ratliff | Nurse Practitioner | Oakwood Ambulatory LLC | 1700 Biddle Ave, Wyandotte, MI 48192-7205 |
| Sarah Baban | Nurse Practitioner | Oakwood Ambulatory LLC | 16351 Rotunda Dr, Apt 168, Dearborn, MI 48120-2005 |
| Ayesha Afrah Khan | Obstetrics/gynecology | Oakwood Ambulatory LLC | 2142 Monroe St, Suite A, Dearborn, MI 48124-3057 |
| Amal Khalil | Family Medicine | Oakwood Ambulatory LLC | 29150 Ford Rd, Garden City, MI 48135-2848 |
| Riley M Smith | Physical Medicine and Rehabilitation | Oakwood Ambulatory LLC | 17000 Hubbard Dr, Suite 800, Dearborn, MI 48126-4205 |
| Street Address |
22060 BEECH ST SUITE 200 |
| City | DEARBORN |
| State | MI |
| Zip | 48124-2853 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarita Rao | Nurse Practitioner | Oakwood Ambulatory LLC | 22060 Beech St, Suite 300, Dearborn, MI 48124-2847 |
| Rita Coram | Cardiovascular Disease (cardiology) | Oakwood Ambulatory LLC | 22060 Beech St, Suite 200, Dearborn, MI 48124-2853 |
| James Richard Spears | Cardiovascular Disease (cardiology) | Oakwood Ambulatory LLC | 22060 Beech St, Suite 300, Dearborn, MI 48124-2847 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bridget A Kujansuu | Clinical Social Worker | Pastoral Counseling and Consultation Service | 24110 Cherry Hill St, Dearborn, MI 48124-1356 |
| Ruby J Bowens | Clinical Social Worker | Pastoral Counseling and Consultation Service | 24110 Cherry Hill St, Dearborn, MI 48124-1356 |
| Beverly J Loudon | Clinical Social Worker | Pastoral Counseling and Consultation Service | 24110 Cherry Hill St, Dearborn, MI 48124-1356 |
| Stelian Marinescu | Cardiovascular Disease (cardiology) | 23100 Cherry Hill St, Suite 7, Dearborn, MI 48124-1449 | |
| Helene C Dombrowski | Dermatology | 23100 Cherry Hill St, Suite 10, Dearborn, MI 48124-1449 | |
| Cecelia F Hissong | Family Medicine | 23100 Cherry Hill St, Suite 8, Dearborn, MI 48124-1449 | |
| Hussein T Saad | Family Practice | 23100 Cherry Hill St, Suite 9, Dearborn, MI 48124-1449 | |
| William J Peters | Podiatry | 23100 Cherry Hill St, Suite 5, Dearborn, MI 48124-1493 | |
| Nouha Alammar | Otolaryngology | Spartan Surgical Associates Plc | 24530 Michigan Ave, Dearborn, MI 48124-1700 |
| Ramsey Hammoud | Orthopedic Surgery | Spartan Surgical Associates Plc | 24530 Michigan Ave, Dearborn, MI 48124-1700 |
| Find all physicians in zip 48124 | |||
| City | DEARBORN |
| Zip Code | 48124 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DEARBORN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Andrea Bynum Clegg.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.