Organization Active NPI

Network Medical & Therapeutic Services, P.C.

  • Health Service Clinic/Center
  • Oak Park, MI
National Provider Identifier
1154765311
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
4301066401 Issued in MI
Legal business name
NETWORK MEDICAL & THERAPEUTIC SERVICES, P.C.
Practice address
22000 Greenfield Rd
Suite B
Oak Park, MI 48237-2500
Phone
(248) 968-2372
Fax
(248) 968-2863
NPI assigned
Apr 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Authorized official

Name
Mr. Deon Lamario Drake
Title
Owner
Phone
(248) 968-2372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 4301066401 MI Primary

Addresses

Primary practice location

22000 Greenfield Rd
Suite B
Oak Park, MI 48237-2500

Mailing address

22000 Greenfield
Suite B
Oak Park, MI 48237-2500
Phone (248) 968-2372

Other identifiers 1

IdentifierTypeStateIssuer
4301066401OtherMILICENSE

Other names 1

  • Network Medical Clinics Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1154765311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22000 GREENFIELD",
            "address_2": "SUITE B",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372500",
            "telephone_number": "248-968-2372",
            "fax_number": "248-968-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22000 GREENFIELD RD",
            "address_2": "SUITE B",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372500",
            "telephone_number": "248-968-2372",
            "fax_number": "248-968-2863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NETWORK MEDICAL & THERAPEUTIC SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-18",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "DEON",
        "authorized_official_middle_name": "LAMARIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-968-2372",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MI",
            "license": "4301066401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "4301066401",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Network Medical Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.