Organization Active NPI

Oakland Medical Group PC

  • Family Medicine Physician
  • Sterling Heights, MI
National Provider Identifier
1215979877
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OAKLAND MEDICAL GROUP PC
Practice address
4845 E 14 Mile Rd
Sterling Heights, MI 48310-6442
Phone
(596) 977-5780
Fax
(586) 977-0391
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Harold Margolis, D.O.
Title
President
Phone
(313) 538-3099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4845 E 14 Mile Rd
Sterling Heights, MI 48310-6442

Mailing address

25241 Grand River Ave
Redford, MI 48240-1404
Phone (313) 538-3099

Other identifiers 1

IdentifierTypeStateIssuer
010Q26332OtherMIBLUE SHIELD PROVIDER NUMB

Other names 1

  • MARY FERRIS DO Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Oakland Medical Group PC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215979877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25241 GRAND RIVER AVE",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482401404",
            "telephone_number": "313-538-3099",
            "fax_number": "313-538-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 E 14 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483106442",
            "telephone_number": "596-977-5780",
            "fax_number": "586-977-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARGOLIS",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-538-3099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NUMB",
            "identifier": "010Q26332",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARY FERRIS DO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.