Active NPI
North Oakland Medical Center
- Surgery Physician
- Pontiac, MI
National Provider Identifier
1356426290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- NORTH OAKLAND MEDICAL CENTER
- Practice address
- 461 W Huron St
Suite 206
Pontiac, MI 48341-1601 - Phone
- (248) 857-7583
- NPI assigned
- Oct 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lesley Willbrandt
- Title
- Supervisor
- Phone
- (248) 857-7595
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 6301012980 | MI | |
| Midwife | 176B00000X | MI | ||
| Pediatrics Physician | 208000000X | MI | ||
| Neonatal-Perinatal Medicine Physician | 2080N0001X | MI | ||
| Surgery Physician | 208600000X | MI | Primary | |
| Physician Assistant | 363A00000X | MI | ||
| Nurse Practitioner | 363L00000X | MI |
Addresses
Primary practice location
461 W Huron St
Suite 206
Pontiac, MI 48341-1601
Mailing address
8221 Reliable Pkwy
Chicago, IL 60686-0001
Phone (248) 857-7583
Other names 1
- NOMC PHYSICIAN SERVICES
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196035200000",
"number": "1356426290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8221 RELIABLE PKWY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606860001",
"telephone_number": "248-857-7583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "461 W HURON ST",
"address_2": "SUITE 206",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483411601",
"telephone_number": "248-857-7583"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH OAKLAND MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-26",
"last_updated": "2007-11-26",
"status": "A",
"authorized_official_last_name": "WILLBRANDT",
"authorized_official_first_name": "LESLEY",
"authorized_official_title_or_position": "SUPERVISOR",
"authorized_official_telephone_number": "248-857-7595"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "6301012980",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Midwife",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "MI",
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "MI",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NOMC PHYSICIAN SERVICES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.