MEDICAL RESOURCE GROUP (NPI# 1326257148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326257148 |
| Entity Type | Organization |
| Organization Name | MEDICAL RESOURCE GROUP |
| Other Organization Name | MRG MPN OBGYN |
| Practice Address |
15990 W 9 Mile Rd Southfield MI 48075-4826 |
| Practice Telephone | 2488494229 |
| Practice Fax Number | 2488494240 |
| Mailing Telephone | 2488494229 |
| Mailing Fax Number | 2488494240 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2011-12-05 |
| Authorized Official Name | SANDRA ELLEN WHITMAN (DIRECTOR) |
| Authorized Official Telephone | 2488494229 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
Allopathic & Osteopathic Physicians | ||
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MRG MPN OBGYN | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184711129 | Medical Resource Group | Internal Medicine | 24371 West Ten Mile Road, Southfield, MI 48034 | 2006-10-10 |
| 1063854941 | Medical Resource Group | Clinic/Center | 21000 E 12 Mile Rd, Suite 105, Saint Clair Shores, MI 48081-1116 | 2013-07-22 |
| 1720233968 | Medical Resource Group | Clinic/Center | 17900 23 Mile Rd, Suite 406, Macomb, MI 48044-1161 | 2008-12-01 |
| 1073765046 | Medical Resource Group | Clinic/Center | 46591 Romeo Plank Rd, Suite 133, Macomb, MI 48044-5742 | 2008-10-21 |
| 1205085487 | Medical Resource Group | Clinic/Center | 4777 E Outer Dr, Urgent Care Department, Detroit, MI 48234-3241 | 2008-09-12 |
| 1922257401 | Medical Resource Group | Clinic/Center | 7733 E Jefferson Ave, Detroit, MI 48214-3707 | 2008-09-09 |
| 1083862015 | Medical Resource Group | Clinic/Center | 5575 Conner St, Detroit, MI 48213-6400 | 2008-09-03 |
| 1356525562 | Medical Resource Group | Dietitian, Registered | 45660 Schoenherr Rd, Shelby Township, MI 48315-6033 | 2007-12-24 |
| 1982883625 | Medical Resource Group | Prosthetic/Orthotic Supplier | 13850 E 12 Mile Rd, Ste 2-b, Warren, MI 48088-3730 | 2007-10-30 |
| 1871783530 | Medical Resource Group | Emergency Medicine | 7733 E Jefferson Ave, Detroit, MI 48214-3707 | 2007-07-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MEDICAL RESOURCE GROUP, LLC | 2310 Cottage St Se, Salem, OR 97302 |
| Street Address |
15990 W 9 MILE RD |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-4826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285101030 | Aaquila Buffington - Shepard | Nurse Practitioner | 15990 W 9 Mile Rd, Southfield, MI 48075-4826 | 2018-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770021354 | Southfield Obsterical and Gynecologic Institute P.C. | Obstetrics & Gynecology | 29275 Northwestern Hwy Ste 207, Southfield, MI 48034-5744 | 2017-02-03 |
| 1093982241 | Judith Brysk Md Pllc | Obstetrics & Gynecology | 25865 W. 12 Mile Rd., Suite A101, Southfield, MI 48034 | 2008-05-15 |
| 1225075930 | Delores Faye Baker | Obstetrics & Gynecology | University Women's Care-southfield, 26400 W 12 Mile Rd Ste 140, Southfield, MI 48034 | 2006-06-01 |
| 1144283532 | David Stone | Obstetrics & Gynecology | 27209 Lahser, #220, Southfield, MI 48034 | 2006-04-08 |
| 1821264227 | Vinaykmalviya Md PC | Obstetrics & Gynecology | 22301 Foster Winter Dr, 3rd Floor, Southfield, MI 48075-3707 | 2008-05-06 |
| 1528261336 | Patrice L. Harold, M.d.,plc | Obstetrics & Gynecology | 29255 Northwestern Hwy Ste 301, Southfield, MI 48034-5742 | 2007-06-08 |
| 1346306651 | Donald R Blitz | Obstetrics & Gynecology | 25865 W 12 Mile Rd, Suite A101, Southfield, MI 48034-1817 | 2006-12-29 |
| 1437198314 | George H Shade | Obstetrics & Gynecology | University Women's Care-southfield, 26400 W 12 Mile Rd Ste 140, Southfield, MI 48034 | 2006-06-06 |
| 1710924238 | Jay M Berman | Obstetrics & Gynecology | 26400 W 12 Mile Rd, Suite 140, Southfield, MI 48034-1753 | 2006-06-01 |
| 1952365405 | Lisa Cardwell | Obstetrics & Gynecology | 27209 Lahser, #220, Southfield, MI 48034 | 2006-04-13 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
Please comment or provide details below to improve the information on MEDICAL RESOURCE GROUP.
| 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.