ROYAL OAK MEDICAL CENTER PC (NPI# 1881795045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881795045 |
| 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 | 2006-09-26 |
| Last Update Date | 2009-04-29 |
| 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 | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
63-6902 | 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 |
| 1184704728 | Royal Oak Medical Center PC | Clinic/Center | 5130 Coolidge Hwy, Royal Oak, MI 48073-1001 | 2006-10-17 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| 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 |
| 1073818654 | Royal Oak Surgical Center, LLC | Clinic/Center | 5130 Coolidge Hiway, Suite 120, Royal Oak, MI 48073 | 2011-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588285050 | Hall Road Asc LLC | Clinic/Center | 11051 Hall Rd Ste 100, Utica, MI 48317-5737 | 2020-05-06 |
| 1235750431 | Precision Surgery Center LLC | Clinic/Center | 22701 Hall Road, Macomb, MI 48042 | 2020-04-29 |
| 1790306991 | Grass Lake Surgery Center LLC | Clinic/Center | 3800 Centennial Blvd, Grass Lake, MI 49240 | 2020-04-29 |
| 1992339147 | Movi Asc Management LLC | Clinic/Center | 5250 Auto Club Drive, Suite 170, Dearborn, MI 48126-2619 | 2020-02-26 |
| 1609409929 | Firestone Procedure Center LLC | Clinic/Center | 4520 Firestone St Ste C, Dearborn, MI 48126-4602 | 2020-02-14 |
| 1255972113 | Center Health Surgery Center LLC | Clinic/Center | 30671 Stephenson Hwy Ste F, Madison Heights, MI 48071-1635 | 2019-10-02 |
| 1942851639 | Northern Michigan Surgical Suites, LLC | Clinic/Center | 825 Moll Dr, Boyne City, MI 49712-9182 | 2019-09-24 |
| 1699328146 | Alliance Surgery Center, LLC | Clinic/Center | 3663 North Country Drive, Traverse City, MI 49684-4587 | 2019-07-23 |
| 1407313802 | Spectrum Health Hospitals | Clinic/Center | 4069 Lake Dr Se Ste 210, Grand Rapids, MI 49546-8816 | 2019-02-22 |
| 1134685415 | Southfield Surgery Center LLC | Clinic/Center | 26225 Greenfield Road, Southfield, MI 48076-4704 | 2019-02-12 |
| Find all providers with the same taxonomy | ||||
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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.