OAKWOOD HEALTHCARE INC (NPI# 1669657367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669657367 |
| Entity Type | Organization |
| Organization Name | OAKWOOD HEALTHCARE INC |
| Other Organization Name | OAKWOOD PHARMACY SOUTHGATE STE 100A |
| Practice Address |
15777 Northline Rd Ste 100a Southgate MI 48195-2385 |
| Mailing Address |
26901 Beaumont Blvd. Compliance Southfield MI 48033-4716 |
| Practice Telephone | 7343249606 |
| Practice Fax Number | 7343249605 |
| Mailing Telephone | 9475221963 |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2020-10-28 |
| Authorized Official Name | CAROLYN S. WILSON (EVP & COO) |
| Authorized Official Telephone | 9475223338 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301008745 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2043563 | 01 |
| Other Name | Type Code |
|---|---|
| OAKWOOD PHARMACY SOUTHGATE Ste 100A | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871980771 | Oakwood Healthcare Inc | Pharmacy | 10000 Telegraph Suite, Suite 115a, Taylor, MI 48180 | 2015-04-20 |
| 1952323867 | Oakwood Healthcare Inc | Pharmacy | 7330 Canton Center Rd, Ste 115, Canton, MI 48187-1538 | 2006-07-24 |
| 1437761418 | Oakwood Healthcare Inc | Hospice Care, Community Based | 26901 Beaumont Blvd., Ste 169, 1-d, Southfield, MI 48033-4617 | 2020-08-20 |
| 1083272686 | Oakwood Healthcare Inc | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd., Community Health D - 5, Southfield, MI 48033-4716 | 2019-05-30 |
| 1598323172 | Oakwood Healthcare Inc | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd., Community Health D - 5, Southfield, MI 48033-4716 | 2019-05-30 |
| 1417515016 | Oakwood Healthcare Inc | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd., Community Health, D - 5, Southfield, MI 48033-4716 | 2019-05-30 |
| 1346806130 | Oakwood Healthcare Inc | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1821310806 | Oakwood Healthcare Inc | Clinic/Center | 18100 Oakwood Blvd, Suite 206, Dearborn, MI 48124-4085 | 2010-02-18 |
| 1700016334 | Oakwood Healthcare Inc | Pharmacy | 33155 Annapolis St, Wayne, MI 48184-2405 | 2009-07-16 |
| 1548404973 | Oakwood Healthcare Inc | General Acute Care Hospital | 5450 Fort St, Trenton, MI 48183-4601 | 2009-04-29 |
| Street Address |
15777 NORTHLINE RD STE 100A |
| City | SOUTHGATE |
| State | MI |
| Zip Code | 48195-2385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376542035 | Farah Iftikhar | Family Medicine | 15777 Northline Rd, Southgate, MI 48195-2385 | 2005-07-15 |
| 1427559814 | Piotr Mariusz Orawiec | Physical Therapist | 15777 Northline Rd, Southgate, MI 48195-2385 | 2018-02-22 |
| 1417495524 | Diane Pearl | Nurse Practitioner | 15777 Northline Rd, Southgate, MI 48195-2385 | 2017-02-09 |
| 1689990384 | Sheila Sungurlu | Internal Medicine | 15777 Northline Rd, Southgate, MI 48195-2385 | 2010-04-20 |
| 1033432232 | Oakwood Ambulatory, LLC | Nurse Practitioner | 15777 Northline Rd, Southgate, MI 48195-2385 | 2010-03-03 |
| 1790967339 | Southgate Urgent Care PC | Clinic/Center | 15777 Northline Rd, Suite 101, Southgate, MI 48195-2385 | 2007-12-05 |
| 1659585206 | Paul Malick | Family Medicine | 15777 Northline Rd, Southgate, MI 48195-2385 | 2007-05-10 |
| 1760525125 | Jeffrey A Kline | Specialist/Technologist | 15777 Northline Rd, Sports Medicine, Southgate, MI 48195-2385 | 2007-02-15 |
| 1114075892 | Mark Jeffrey Mcdonald | Specialist/Technologist | 15777 Northline Rd, Suite 102, Southgate, MI 48195-2385 | 2007-01-08 |
| 1801944582 | William Pugh | Specialist/Technologist | 15777 Northline Rd, Southgate, MI 48195-2385 | 2007-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206656 | Destiny D Harris | Social Worker | 14799, Southgate, MI 48195 | 2020-05-13 |
| 1285102368 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 16256 Fort St, Southgate, MI 48195 | 2018-11-07 |
| 1003382979 | Saran Charisse Watts | Case Manager/Care Coordinator | 31101 Allen Rd, Building 5, Southgate, MI 48195 | 2018-10-18 |
| 1255824025 | Kiesta Janell Lindsey | Social Worker | 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 | 2018-06-07 |
| 1417473224 | Suzette Michele Watson | Nurse Practitioner | 14319 Dix-toledo, Southgate, MI 48195 | 2017-08-15 |
| 1275069486 | Liza Du Plessis | Student in an Organized Health Care Education/Training Program | 13111 Allen Road, Southgate, MI 48195 | 2017-05-08 |
| 1497290456 | Beaumont Health | Clinic/Center | 15777 Northline, Southgate, MI 48195 | 2016-12-30 |
| 1184172876 | Felicia Wilson | Licensed Practical Nurse | 15771 Wildemere, Southgate, MI 48195 | 2016-09-12 |
| 1225487978 | Stacey Petrick-strickland | Technician, Other | 12189 Agnes, Southgate, MI 48195 | 2016-06-03 |
| 1205298486 | Ashley Francis | Hearing Instrument Specialist | 18800 Eureka Rd., Southgate, MICHIGAN 48195 | 2016-03-25 |
| Find all providers in zip 48195 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881108454 | Vitale Rx LLC | Pharmacy | 14635 Northline Rd, Southgate, MI 48195-2483 | 2017-11-18 |
| 1497053086 | N A & S Drugs, Inc | Pharmacy | 15600 Northline Rd, Southgate, MI 48195-2350 | 2011-03-05 |
| 1770685018 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 15300 Eureka Rd, Southgate, MI 48195-3261 | 2006-09-05 |
| 1821100751 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 11125 Allen Rd, Southgate, MI 48195-3331 | 2006-08-31 |
| 1497381800 | Stopin Pharmacy LLC | Pharmacy | 13636 Dix Toledo Rd, Southgate, MI 48195-2432 | 2020-03-17 |
| 1942767660 | Southgate Family Pharmacy, LLC | Pharmacy | 15450 Northline Rd Ste 102, Southgate, MI 48195-2490 | 2019-02-28 |
| 1477002970 | Meijer | Pharmacy | 16300 Fort St, Pharmacy, Southgate, MI 48195-1428 | 2016-09-25 |
| 1154714210 | Raz Drugs Inc | Pharmacy | 14799 Dix Toledo Rd, Suite 2, Southgate, MI 48195-2507 | 2015-03-13 |
| 1659779064 | Specialty Medical Drugstore | Pharmacy | 525 Alexandria Pike, Southgate, KY 41071-3290 | 2014-12-17 |
| 1780904748 | Vip Pharmacy Inc | Pharmacy | 14319 Dix Toledo Rd, Southgate, MI 48195-2506 | 2010-06-01 |
| Find all providers in SOUTHGATE | ||||
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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.