ROYAL OAK MEDICAL CENTER PC (NPI# 1184704728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184704728 |
| Entity Type | Organization |
| Organization Name | ROYAL OAK MEDICAL CENTER PC |
| Practice Address |
5130 Coolidge Hwy Royal Oak MI 48073-1001 |
| Practice Telephone | 2482889500 |
| Practice Fax Number | 2482880044 |
| Mailing Telephone | 2482889500 |
| Mailing Fax Number | 2482880044 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MUMTAZ GEORGE (PRESIDENT/DIRECTOR) |
| Authorized Official Telephone | 2482889500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | MI | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437544772 | Royal Oak Medical Center PC | Internal Medicine | 5130 Coolidge Hwy, Royal Oak, MI 48073-1001 | 2015-04-03 |
| 1881795045 | Royal Oak Medical Center PC | Clinic/Center | 5130 Coolidge Hwy, Royal Oak, MI 48073-1001 | 2006-09-26 |
| Street Address |
5130 COOLIDGE HWY |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922094689 | Kenneth Wayne Gahry | Physician Assistant | 5130 Coolidge Hwy, Royal Oak, MI 48073-1001 | 2005-09-27 |
| 1679921787 | Maegen Mandeville | Physician Assistant | 5130 Coolidge Hwy, Royal Oak, MI 48073-1001 | 2016-05-31 |
| 1437544772 | Royal Oak Medical Center PC | Internal Medicine | 5130 Coolidge Hwy, Royal Oak, MI 48073-1001 | 2015-04-03 |
| 1477974103 | Kanupriya Kapoor | Physical Therapist | 5130 Coolidge Hwy, Royal Oak, MI 48073-1001 | 2013-12-24 |
| 1952737645 | Martin Zarski | Nurse Anesthetist, Certified Registered | 5130 Coolidge Hwy, Suite 120, Royal Oak, MI 48073-1001 | 2013-09-25 |
| 1417389396 | David Vandam LLC | Nurse Anesthetist, Certified Registered | 5130 Coolidge Hwy, Suite 120, Royal Oak, MI 48073-1001 | 2013-08-02 |
| 1720429251 | Margarete Liles LLC | Nurse Anesthetist, Certified Registered | 5130 Coolidge Hwy, Suite 120, Royal Oak, MI 48073-1001 | 2013-07-12 |
| 1881032407 | Maureen Therese Romanchik | Nurse Practitioner | 5130 Coolidge Hwy, Royal Oak, MI 48073-1001 | 2013-06-05 |
| 1619228061 | Kelly L Hess | Nurse Practitioner | 5130 Coolidge Hwy, Royal Oak, MI 48073-1001 | 2012-09-25 |
| 1922396936 | Rashmi Patel | Physical Therapist | 5130 Coolidge Hwy, Royal Oak, MI 48073-1001 | 2011-07-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| Find all providers in zip 48073 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376053108 | Michigan Progressive Health | Clinic/Center | 1010 N Campbell Rd Ste 5, Royal Oak, MI 48067-1570 | 2017-10-06 |
| 1659787984 | Woodward Rehabilitation PC | Clinic/Center | 1200 W 11 Mile Rd, Royal Oak, MI 48067-2454 | 2014-07-08 |
| 1720400724 | Lori J. Warner, Pllc | Clinic/Center | 1107 Longfellow Ave, Royal Oak, MI 48067-3322 | 2014-01-09 |
| 1427120807 | Roumayah-popovic, P.C. | Clinic/Center | 225 S Troy St Ste 180, Royal Oak, MI 48067-2718 | 2006-11-14 |
| 1114561941 | Jodi Mollica Lcsw LLC | Clinic/Center | 628 E Parent Ave Ste 506, Royal Oak, MI 48067-3768 | 2019-11-05 |
| 1174904601 | Beaumont Health | Clinic/Center | 3601 W 13 Mile Rd, 111 Mob, Ste. 329, Royal Oak, MI 48073-6712 | 2015-06-10 |
| 1730479114 | Ultrasound Associates of Michigan LLC | Clinic/Center | 123 S Main St, Suite 260, Royal Oak, MI 48067-2631 | 2011-04-19 |
| 1972779072 | David L Manzo Md PC | Clinic/Center | 621 W 11 Mile Rd, Royal Oak, MI 48067-2201 | 2008-05-08 |
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| 1235730664 | Edward W. Sparrow Hospital Association | Clinic/Center | 2900 Hannah Blvd Ste 204, East Lansing, MI 48823-5382 | 2020-11-03 |
| 1952909558 | Quilted Rose Clinical Services, Pllc | Clinic/Center | 269 Walker St Ste 256, Detroit, MI 48207-4258 | 2020-10-15 |
| 1386250694 | A Better Me Therapy, LLC | Clinic/Center | 2503 S Linden Rd Ste 259, Flint, MI 48532-5462 | 2020-09-22 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1659985042 | Passion and Purpose Pediatrics | Clinic/Center | 2944 Olden Oak Ln Apt 204, Auburn Hills, MI 48326-2177 | 2020-09-02 |
| 1710597745 | Renew Child and Family Center | Clinic/Center | 383 Starkweather St, Plymouth, MI 48170-1382 | 2020-08-04 |
| 1467075358 | Shear Pointe Inc | Clinic/Center | 1971 E 14 Mile Rd, Birmingham, MI 48009-7244 | 2020-05-26 |
| 1992326466 | New Healthcare PC | Clinic/Center | 911 Dix St Ste B, Otsego, MI 49078-1609 | 2020-05-06 |
| 1851920581 | Emotional Wellness Group LLC | Clinic/Center | 11956 E Outer Dr, Detroit, MI 48224-2630 | 2020-04-04 |
| 1003445800 | Dr. Chris Popp, PC | Clinic/Center | 107 Aprill Dr Ste 5, Ann Arbor, MI 48103-1956 | 2020-04-03 |
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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.