Mary Jo Oldford, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704164813 Issued in MI

Practice address

4181 Windmill Farms
Milford, MI 48380-4279

Phone

(248) 804-4323

Fax

(248) 685-0156

NPI assigned

Mar 6, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1114197167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4181 WINDMILL FARMS",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483804279",
            "telephone_number": "248-804-4323",
            "fax_number": "248-685-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4181 WINDMILL FARMS",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483804279",
            "telephone_number": "248-804-4323",
            "fax_number": "248-685-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDFORD",
        "first_name": "MARY",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-06",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704164813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.