Gregory Q. Clague, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

5101006602 Issued in MI

Practice address

10300 W 9 Mile Rd
Oak Park, MI 48237-2993

Phone

(248) 544-8326

Fax

(248) 544-2028

NPI assigned

Dec 1, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oakland Medical Group PC

  • Family Medicine Physician
  • Madison Heights, MI
  • NPI 1124053509
  NPD (past)

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297814400000",
    "number": "1184608457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 W 9 MILE RD",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372993",
            "telephone_number": "248-544-8326",
            "fax_number": "248-544-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 W 9 MILE RD",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372993",
            "telephone_number": "248-544-8326",
            "fax_number": "248-544-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAGUE",
        "first_name": "GREGORY",
        "middle_name": "Q.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2011-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "5101006602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184608457",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "700H217350",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Lynn Chmielinski, LPC
• Choice Independence Inc.
• Christina L Kimbrough PLLC
• Circle of Life
• Aimee Cisler
• Shana Clark, RN
• Shanell Clark
• Amanda Clay
• Clear Choice Lab Solutions LLC
• Close Family Home Care, LLC

• General Practice Physician in Oak Park, MI
• Providers in Oak Park, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; 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.