OAKWOOD AMBULATORY, LLC (NPI# 1356403505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356403505 |
| Entity Type | Organization |
| Organization Name | OAKWOOD AMBULATORY, LLC |
| Other Organization Name | OAKWOOD COMMONS WELLNESS CENTER |
| Practice Address |
16351 Rotunda Dr Dearborn MI 48120-1170 |
| Mailing Address |
26901 Beaumont Blvd Southfield MI 48033-3849 |
| Practice Telephone | 3132539781 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2019-08-21 |
| Authorized Official Name | LESLEY WILLBRANDT (DIRECTOR SHARED SERVICES) |
| Authorized Official Telephone | 9475221911 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Oakwood Commons Wellness Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891935151 | Oakwood Ambulatory, LLC | Family Medicine | 3132 Newport, Suite 107, Newport, MI 48166 | 2009-02-26 |
| 1528120805 | Oakwood Ambulatory, LLC | Obstetrics & Gynecology | 15915 Southfield Rd, Suite 100, Allen Park, MI 48101-2512 | 2006-12-14 |
| 1033432232 | Oakwood Ambulatory, LLC | Nurse Practitioner | 15777 Northline Rd, Southgate, MI 48195-2385 | 2010-03-03 |
| 1083858104 | Oakwood Ambulatory, LLC | Psychologist | 2001 S Merriman Rd, Westland, MI 48186-5539 | 2009-04-21 |
| 1013157361 | Oakwood Ambulatory, LLC | Podiatrist | 2001 S Merriman Rd, Westland, MI 48186-5539 | 2009-02-26 |
| 1346480605 | Oakwood Ambulatory, LLC | Psychologist | 2001 S Merriman Rd, Westland, MI 48186-5539 | 2009-02-26 |
| 1902955487 | Oakwood Ambulatory, LLC | Psychologist | 2001 S Merriman Rd, Suite 100, Westland, MI 48186-5539 | 2007-01-10 |
| 1700935285 | Oakwood Ambulatory, LLC | Podiatrist | 7300 N Canton Center Rd, Canton, MI 48187-1579 | 2007-01-10 |
| 1356490833 | Oakwood Ambulatory, LLC | Nurse Practitioner | 201 3rd St, Suite 300, Belleville, MI 48111-2605 | 2007-01-10 |
| 1235288663 | Oakwood Ambulatory, LLC | Dietitian, Registered | 4900 Mercury Dr, Dearborn, MI 48126-2947 | 2007-01-08 |
| Street Address |
16351 ROTUNDA DR |
| City | DEARBORN |
| State | MI |
| Zip Code | 48120-1170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275904047 | Niloufar Rajaei | Nurse Practitioner | 16351 Rotunda Dr, #167, Dearborn, MI 48120-1170 | 2015-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649655838 | Jeffrey Leonard Bachynski | Social Worker | 15200 Mercantile, Dearborn, MI 48120 | 2015-07-29 |
| 1518369412 | Raed Haddad Md, Pllc | Internal Medicine | 9720 Dix Ste B, Dearborn, MI 48120 | 2014-09-23 |
| 1083902217 | Lena Sarsam | Physician Assistant | 10306 Dix Ave., Dearborn, MI 48120 | 2011-07-21 |
| 1023314341 | Dearborn Internist P.C. | Internal Medicine | 10066 Dix Ave, Suite 100, Dearborn, MI 48120 | 2011-02-03 |
| 1003027897 | Hooverrx | Pharmacist | 1363 Salina St, Dearborn, MI 48120 | 2007-05-24 |
| 1154415776 | Metro Home Health Care Plans, Inc. | Home Health | 15350 Commerce Dr. N, Ste. 200, Dearborn, MI 48120 | 2006-10-03 |
| 1356382303 | Nashereen Tootla | Physical Therapist | 10066 Dix Rd, Deaborn, MI 48120 | 2006-06-09 |
| 1356886303 | Samatha Lee Stone | Behavioral Analyst | 3200 Greenfield Rd Ste 300, Dearborn, MI 48120 | 2016-12-29 |
| 1225479421 | Tiffany Ann Murray | Social Worker | 15350 N Commerce Dr, Dearborn, MI 48120 | 2013-07-16 |
| 1114268562 | Frank Quinones | Social Worker | 15350 N Commerce Dr, Suite 204, Dearborn, MI 48120 | 2013-03-11 |
| Find all providers in zip 48120 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912987348 | David Sengstock | Internal Medicine | 15101 Ford Rd, Dearborn, MI 48126-4611 | 2006-01-20 |
| 1093712804 | Satish N. Kamath | Internal Medicine | 24100 Oxford St, Dearborn, MI 48124-2481 | 2005-07-07 |
| 1518451236 | Sarah H Abdelsamad | Internal Medicine | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2018-06-16 |
| 1477935849 | Aljaaly Omer Ahmed | Internal Medicine | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2015-06-22 |
| 1962766253 | Jailan Alaaeldin Elayoubi | Internal Medicine | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2012-07-01 |
| 1841432002 | Hyder Syed Raza | Internal Medicine | 22819 Michigan Ave, Dearborn, MI 48124-2007 | 2009-04-01 |
| 1316182777 | Dearborn Medical Associates, P.C. | Internal Medicine | 19855 West Outer Dr., Suite L7, Dearborn, MI 48124-2022 | 2008-12-12 |
| 1841400330 | Alaaeldin Ahmed Mira | Internal Medicine | Oakwood Healthcare Center Mercury Drive, 4900 Mercury Drive, Suite 201, Dearborn, MI 48126 | 2007-05-23 |
| 1295707891 | Jacqueline Mohs | Internal Medicine | 4900 Mercury Dr, Dearborn, MI 48126-2947 | 2006-02-07 |
| 1336119106 | Mark Hannis | Internal Medicine | 15101 Ford Rd, Dearborn, MI 48126-4611 | 2006-01-25 |
| Find all providers in DEARBORN | ||||
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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.