NPIMap

Organization Active NPI

Oakland Physicians Medical Center, LLC

  • General Acute Care Hospital
  • Pontiac, MI
National Provider Identifier
1013262468
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
OAKLAND PHYSICIANS MEDICAL CENTER, LLC
Practice address
461 W Huron Street
Pontiac, MI 48341
Phone
(248) 857-7200
Fax
(248) 857-6842
NPI assigned
Jul 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. John Ponczocha
Title
President/Ceo
Phone
(248) 857-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X MI Primary

Addresses

Primary practice location

461 W Huron Street
Pontiac, MI 48341

Mailing address

461 W Huron Street
Pontiac, MI 48341
Phone (248) 857-7200

Other identifiers 1

IdentifierTypeStateIssuer
5435510MedicaidMI

Other names 1

  • Pontiac General Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Oakland Physician Med LLC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459123200000",
    "number": "1013262468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 W HURON STREET",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "48341",
            "telephone_number": "248-857-7200",
            "fax_number": "248-857-6842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 W HURON STREET",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "48341",
            "telephone_number": "248-857-7200",
            "fax_number": "248-857-6842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND PHYSICIANS MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-20",
        "last_updated": "2016-03-28",
        "status": "A",
        "authorized_official_last_name": "PONCZOCHA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "248-857-7200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5435510",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pontiac General Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pontiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.