NPIMap

Organization Active NPI

Oakland Physicians Medical Center

Doing business as Doctors' Hospital of Michigan

  • Urgent Care Clinic/Center
  • Waterford, MI
National Provider Identifier
1366739815
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
L1825181 Issued in MI
Legal business name
OAKLAND PHYSICIANS MEDICAL CENTER
Doing business as
Doctors' Hospital of Michigan
Practice address
1305 N Oakland Blvd
Waterford, MI 48327-1547
Phone
(248) 666-9000
NPI assigned
Jul 6, 2011
Last updated
Sep 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Authorized official

Name
Mr. Dennis Franks
Title
Chief Operating Officer
Phone
(248) 857-7583

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X L1825181 MI Primary

Addresses

Primary practice location

1305 N Oakland Blvd
Waterford, MI 48327-1547

Mailing address

4947 Reliable Pkwy
Chicago, IL 60686-0049

Other identifiers 2

IdentifierTypeStateIssuer
5435510MedicaidMI
00300OtherMIBCBS

Other names 1

  • Doctors' Hospital of Michigan Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Oakland Physician Med LLC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

4947 Reliable Pkwy
Chicago, IL 60686

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1366739815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4947 RELIABLE PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606860049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 N OAKLAND BLVD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271547",
            "telephone_number": "248-666-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND PHYSICIANS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "FRANKS",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "248-857-7583",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MI",
            "license": "L1825181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5435510",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00300",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors' Hospital of Michigan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.