Organization Active NPI

Oak Medical Group PLLC

  • Family Medicine Physician
  • Dearborn, MI
National Provider Identifier
1457058133
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OAK MEDICAL GROUP PLLC
Practice address
5237 Oakman Blvd Ste B100
Dearborn, MI 48126-4045
Phone
(313) 420-8300
NPI assigned
Feb 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 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: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5237 Oakman Blvd Ste B100
Dearborn, MI 48126-4045

Mailing address

5237 Oakman Blvd Ste B100
Dearborn, MI 48126-4045
Phone (313) 420-8300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1457058133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5237 OAKMAN BLVD STE B100",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264045",
            "telephone_number": "313-420-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5237 OAKMAN BLVD STE B100",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264045",
            "telephone_number": "313-420-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "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": "193400000X SINGLE 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 22, 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.