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SOUTHSHORE MOB
NPI 1457503781
Obstetrics & Gynecology - Obstetrics in Trenton, MI

Active since October 17, 2008
5400 FORT ST, SUITE 100, TRENTON, MI 48183(734) 362-1200 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Oct 21, 2021, Feb 5, 2021 (2 updates tracked since 2021).

About Southshore Mob NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHSHORE MOB (NPI 1457503781) is a healthcare organization registered as an obstetrics in Trenton, Michigan and active in the NPI registry since October 2008. The organization lists Lee Ann Odom, President Shared Services, as its authorized official.

NPPES Registry Identity

NPI1457503781
Entity TypeOrganization
Primary Taxonomy207VX0000X
Legal Business NameOAKWOOD HEALHCARE GROUP 1, LLC
Location Address5400 FORT ST, SUITE 100Trenton, MI 48183-4632
Mailing Address29601 Beaumont Blvd, ComplianceSouthfield, MI 48033-3849 · (947) 522-1964
Phone(734) 362-1200
Organization SubpartNo
Authorized OfficialLee Ann OdomPresident Shared Services · (947) 522-3326
Enumeration DateOctober 17, 2008
Last NPPES UpdateOctober 21, 20212 updates tracked since enumeration
NPPES CertifiedOctober 21, 2021
✔ NPI 1457503781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
5400 FORT ST, Trenton, MI 48183
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Other Names 1

Doing Business AsSouthshore Mob

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANKE U ROBINSON M.D.
Family Medicine
5400 FORT ST, SUITE 130
TRENTON, MI 48183
Wayne County (734) 362-7100
ALEXANDER C BATCHEV DO PC
Obstetrics & Gynecology
5400 FORT ST, SUITE 130
TRENTON, MI 48183
Wayne County (734) 362-1200
COMPREHENSIVE FAMILY MEDICINE PLC
Family Medicine (Adolescent Medicine)
5400 FORT ST, SUITE 130
TRENTON, MI 48183
Wayne County (734) 362-7100
OAKWOOD HEALTHCARE, INC.
Internal Medicine
5400 FORT ST
TRENTON, MI 48183
Wayne County (734) 362-6730
JAMES R JOHNSON DO
Internal Medicine
5400 FORT ST, SUITE 130
TRENTON, MI 48183
Wayne County (734) 362-7100
DR. TIMOTHY M BURANDT DO, FACOS, FACS
Surgery
5400 FORT ST, SUITE #150
TRENTON, MI 48183
Wayne County (734) 671-3678
ADVANTAGE HEALTH SERVICES PLC
Family Medicine
5400 FORT ST, SUITE 130
TRENTON, MI 48183
Wayne County (734) 362-7100
NGUYEN H. PARK PA-C
Physician Assistant
5400 FORT ST, SUITE 200
TRENTON, MI 48183
Wayne County (734) 675-2220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oakwood Healhcare Group 1, LLC's NPI number?

The NPI number for Oakwood Healhcare Group 1, LLC is 1457503781. It was assigned to this organization in the NPPES registry on October 17, 2008. The provider is doing business as Southshore Mob.

Where is Oakwood Healhcare Group 1, LLC located?

Oakwood Healhcare Group 1, LLC is located at 5400 Fort St Suite 100, Trenton, MI 48183. The listed phone number is (734) 362-1200.

What is Oakwood Healhcare Group 1, LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

When was this NPI record last updated?

The NPPES record for Oakwood Healhcare Group 1, LLC was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.