| Orchardview Physicians, Pllc | |
|
12250 Thirty Mile Rd Washington Township MI 48095 | |
| (248) 760-0522 | |
| (248) 282-5137 |
| Full Name | Orchardview Physicians, Pllc |
|---|---|
| Speciality | Preventive Medicine |
| Location | 12250 Thirty Mile Rd, Washington Township, Michigan |
| Authorized Official Name and Position | Philip Michael O'halloran (MEMBER) |
| Authorized Official Contact | 2487600522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orchardview Physicians, Pllc 1000 Joanne Ct Bloomfield MI 48302-2417 Ph: (248) 760-0522 | Orchardview Physicians, Pllc 12250 Thirty Mile Rd Washington Township MI 48095 Ph: (248) 760-0522 |
| NPI Number | 1245311398 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 09/11/2025 |
| Medicare PECOS PAC ID | 5991881138 |
|---|---|
| Medicare Enrollment ID | O20080327000594 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245311398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 4301407335 (Michigan) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | 4301407335 (Michigan) | Primary |
| Provider Name | Sharon E Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568440725 PECOS PAC ID: 2466437512 Enrollment ID: I20040622001185 |
| Provider Name | Chad Richard Mika |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457357287 PECOS PAC ID: 1254309842 Enrollment ID: I20050110000007 |
| Provider Name | Philip M Ohalloran |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1306939285 PECOS PAC ID: 4385728070 Enrollment ID: I20080219000554 |
| Provider Name | Tabitha D Luca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942833041 PECOS PAC ID: 1850721523 Enrollment ID: I20200420003216 |