Oak Tree Pediatrics, P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301074426 Issued in MI

Legal business name

OAK TREE PEDIATRICS, P.C.

Practice address

401 E Grand River Ave
Brighton, MI 48116-1515

Phone

(810) 225-7334

Fax

(810) 225-3262

NPI assigned

Jan 13, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Deborah A McEwen, MDNPI 1699831172

Title

President

Phone

(810) 225-7334

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deborah A McEwen, M.D.

  • Pediatrics Physician
  • Brighton, MI
  • NPI 1699831172
  NPD (past) Authorized official

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377993600000",
    "number": "1104121615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E GRAND RIVER AVE",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161515",
            "telephone_number": "810-225-7334",
            "fax_number": "810-225-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E GRAND RIVER AVE",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161515",
            "telephone_number": "810-225-7334",
            "fax_number": "810-225-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK TREE PEDIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2013-09-01",
        "status": "A",
        "authorized_official_last_name": "MCEWEN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-225-7334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301074426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nutrition 1St
• Alanna Ekua Nzoma, M.D.
• Stacey O'Connor, D.O.
• Patricia O'Neil
• Dylan Thomas O'Reilly, MD
• Occupational Health Centers of Michigan PC
• Occupational Health Centers of Michigan, P.C.
• Eli Ochshorn, DPT
• Emma Ockerman
• Andrea Odonnell

• Pediatrics Physician in Brighton, MI
• Providers in Brighton, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.