Active NPI
Greater Care Health Clinic
- Pain Medicine Physician
- Oak Park, MI
National Provider Identifier
1457918948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- GREATER CARE HEALTH CLINIC
- Practice address
- 21700 Greenfield Rd
Oak Park, MI 48237-2581 - Phone
- (248) 677-4061
- NPI assigned
- May 21, 2019
- 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
- Lakisha Johnson
- Title
- Office Manager
- Phone
- (248) 677-4061
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | Primary |
Addresses
Primary practice location
21700 Greenfield Rd
Oak Park, MI 48237-2581
Mailing address
21700 Greenfield Rd
Oak Park, MI 48237-2581
Phone (248) 677-4061
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 248-677-4061 | Other | MI | PAIN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1558396800000",
"number": "1457918948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21700 GREENFIELD RD",
"city": "OAK PARK",
"state": "MI",
"postal_code": "482372581",
"telephone_number": "248-677-4061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21700 GREENFIELD RD",
"city": "OAK PARK",
"state": "MI",
"postal_code": "482372581",
"telephone_number": "248-677-4061"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREATER CARE HEALTH CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-21",
"last_updated": "2019-05-21",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "LAKISHA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "248-677-4061"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PAIN",
"identifier": "248-677-4061",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.