Individual provider Active NPI

Oknang Bartok, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Grosse Pointe Woods, MI
National Provider Identifier
1184870552
Registry record updated Aug 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704158379 Issued in MI
Practice address
20160 Mack Ave
Grosse Pointe Woods, MI 48236-1822
Phone
(313) 882-8600
Fax
(313) 882-0737
NPI assigned
Aug 17, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704158379MIMDAdult Health Nurse Practitioner

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704158379 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

20160 Mack Ave
Grosse Pointe Woods, MI 48236-1822

Mailing address

25704 Winding Creek Dr
New Boston, MI 48164-9132
Phone (734) 654-3768

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 17, 2008.

{
    "created_epoch": "1218931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218931200000",
    "number": "1184870552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25704 WINDING CREEK DR",
            "city": "NEW BOSTON",
            "state": "MI",
            "postal_code": "481649132",
            "telephone_number": "734-654-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20160 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361822",
            "telephone_number": "313-882-8600",
            "fax_number": "313-882-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTOK",
        "first_name": "OKNANG",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-17",
        "last_updated": "2008-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704158379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2008; 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.