Ohana Medical Group PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OHANA MEDICAL GROUP PLLC

Practice address

1218 E Grand River Ave
Portland, MI 48875-1628

Phone

(517) 732-8877

Fax

(517) 659-6376

NPI assigned

May 18, 2022

Last updated

Nov 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anthony L Sands, PANPI 1942757869

Title

Owner

Phone

(517) 604-1095

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

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.

• Anthony Lee Sands, PA-C

  • Physician Assistant
  • Portland, MI
  • NPI 1942757869
  Medicare reassignment Care Compare group Authorized official
• Saba Haq, MD

  • Emergency Medicine Physician
  • San Ramon, CA
  • NPI 1669460085

  MI, Single Specialty

  Medicare reassignment Care Compare group NPD
• Shayna Tanise Walker, M.D

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1760688295

  MI

  Medicare reassignment Care Compare group NPD
• Jeanie Jones, PA-C

  • Medical Physician Assistant
  • Muir, MI
  • NPI 1518779560
  Medicare reassignment
• Chelsea Schrauben, PA-C

  • Physician Assistant
  • East Lansing, MI
  • NPI 1265120034
  Medicare reassignment
• Rachel Sands, RDN

  • Registered Dietitian
  • Portland, MI
  • NPI 1689447393
  NPD

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1497492706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 E GRAND RIVER AVE",
            "city": "PORTLAND",
            "state": "MI",
            "postal_code": "488751628",
            "telephone_number": "517-732-8877",
            "fax_number": "517-659-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 E GRAND RIVER AVE",
            "city": "PORTLAND",
            "state": "MI",
            "postal_code": "488751628",
            "telephone_number": "517-732-8877",
            "fax_number": "517-659-6376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHANA MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "SANDS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-604-1095",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McLaren Central Michigan
• Monica Mead, PHARM. D
• Michael J Mauren, DDS, PLLC
• Michigan Sleep Solutions LLC
• Roger Duane Miller, DDS
• Charlene Ann Pahl, LMSW ACSW
• Hiral R Patel
• Prachi Patel, RPH
• Gracie E Patterson, MA
• Molly Kathryn Puglessi

• Family Medicine Physician in Portland, MI
• Providers in Portland, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.