Provider Demographics
NPI:1033622733
Name:PARADYGM HEALTH GROUP
Entity Type:Organization
Organization Name:PARADYGM HEALTH GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF COMPLIANCE
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:J
Authorized Official - Last Name:RHODES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-852-1700
Mailing Address - Street 1:550 STEPHENSON HWY STE 450
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-1140
Mailing Address - Country:US
Mailing Address - Phone:248-852-1700
Mailing Address - Fax:248-852-4802
Practice Address - Street 1:550 STEPHENSON HWY STE 450
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-1140
Practice Address - Country:US
Practice Address - Phone:248-852-1700
Practice Address - Fax:248-852-4802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-16
Last Update Date:2017-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3338044Medicaid