Active NPI
Oknang Bartok, NURSE PRACTITIONER
- Adult Health Nurse Practitioner
- Grosse Pointe Woods, MI
National Provider Identifier
1184870552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 4704158379
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4704158379 | MI | MD | Adult Health Nurse Practitioner |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 4704158379 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary 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.