Organization Active NPI

Oak Urgent Care PLLC

  • Family Medicine Physician
  • Dearborn, MI
National Provider Identifier
1265130389
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OAK URGENT CARE PLLC
Practice address
5237 Oakman Blvd Ste B300
Dearborn, MI 48126-4045
Phone
(313) 420-8300
NPI assigned
Feb 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Authorized official

Name
Samer Homisha
Title
MD
Phone
(313) 420-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5237 Oakman Blvd Ste B300
Dearborn, MI 48126-4045

Mailing address

5237 Oakman Blvd Ste B300
Dearborn, MI 48126-4045

National Provider Directory

National Provider Directory

Locations

5237 Oakman Blvd
Ste B300
Dearborn, MI 48126
Phone (313) 420-8300

NPI Registry JSON

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1265130389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5237 OAKMAN BLVD STE B300",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5237 OAKMAN BLVD STE B300",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264045",
            "telephone_number": "313-420-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "HOMISHA",
        "authorized_official_first_name": "SAMER",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "313-420-8300"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.