MEDICARE: OMG 1 PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207RC0000X	Cardiovascular Disease Physician
2	2085N0904X	Nuclear Radiology Physician
3	207RX0202X	Medical Oncology Physician
4	2085R0204X	Vascular & Interventional Radiology Physician
5	208100000X	Physical Medicine & Rehabilitation Physician
6	207RP1001X	Pulmonary Disease Physician
7	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1891737466
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OMG 1 PC

Provider Business Mailing Address
First Line	:	29992 NORTHWESTERN HWY STE C
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48334-3292
Country	:	US
Telephone Number	:	248-851-1430
Fax Number	:	248-851-5182

Provider Business Practice Location Address
First Line	:	27483 DEQUINDRE RD STE 101
Second Line	:
City	:	MADISON HEIGHTS
State	:	MI
Zip	:	48071-5700
Country	:	US
Telephone Number	:	248-544-9050
Fax Number	:	248-544-2331

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. HAROLD MARGOLIS
Credential	:	D.O.
Telephone Number	:	248-851-1430

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	12/16/2025

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Directions to “OMG 1 PC ” Practice Location

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