Active NPI
Oakdell Medical Services
- Durable Medical Equipment & Medical Supplies
- Holt, MI
National Provider Identifier
1003831918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- OAKDELL MEDICAL SERVICES
- Practice address
- 2101 Aurelius Rd
Suite 3a
Holt, MI 48842-1380 - Phone
- (517) 694-8808
- Fax
- (517) 694-8868
- NPI assigned
- Jul 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Kalu Obasi
- Title
- Owner
- Phone
- (517) 694-8808
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
2101 Aurelius Rd
Suite 3a
Holt, MI 48842-1380
Mailing address
2101 Aurelius Rd
Suite 3a
Holt, MI 48842-1380
Phone (517) 694-8808
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120457094 | Other | MI | TRICARE NORTH |
| 4962950 | Medicaid | MI | |
| TXW 0013701 | Other | TX | BEDDING LICENSE |
| 54-C3-1417-0 | Other | MI | BCBS BLUE CARE NETWORK |
| 1003831918 | Other | MI | NPI |
Other names 1
- Michael K Obasi
National Provider Directory
National Provider DirectoryLocations
2101 Aurelius Rd
Ste 3A
Holt, MI 48842
Phone (517) 694-8808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534464000000",
"number": "1003831918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 AURELIUS RD",
"address_2": "SUITE 3A",
"city": "HOLT",
"state": "MI",
"postal_code": "488421380",
"telephone_number": "517-694-8808",
"fax_number": "517-694-8868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 AURELIUS RD",
"address_2": "SUITE 3A",
"city": "HOLT",
"state": "MI",
"postal_code": "488421380",
"telephone_number": "517-694-8808",
"fax_number": "517-694-8868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAKDELL MEDICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-12",
"last_updated": "2018-08-17",
"status": "A",
"authorized_official_last_name": "OBASI",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "KALU",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "517-694-8808"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE NORTH",
"identifier": "120457094",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4962950",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEDDING LICENSE",
"identifier": "TXW 0013701",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS BLUE CARE NETWORK",
"identifier": "54-C3-1417-0",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1003831918",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Michael K Obasi",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Holt, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.