Active NPI
North Oakland ASC, LLC
- Gastroenterology Physician
- Waterford, MI
National Provider Identifier
1508167107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- NORTH OAKLAND ASC, LLC
- Practice address
- 1305 N Oakland Blvd
Waterford, MI 48327-1547 - Phone
- (248) 666-5552
- NPI assigned
- Nov 12, 2010
- Organization subpart
- Yes
- Parent organization
- OAKLAND PHYSICIANS MEDICAL CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Derubeis, CFO
- Title
- Cfo
- Phone
- (248) 857-7583
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MI | Primary |
Addresses
Primary practice location
1305 N Oakland Blvd
Waterford, MI 48327-1547
Mailing address
461 W Huron St
Suite 206
Pontiac, MI 48341-1601
Phone (248) 857-7583
National Provider Directory
National Provider Directory- Part of
- Oakland Physician Med LLC
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- General Acute Care Hospital
- Pontiac, MI
- NPI 1619125788
Member Of
Locations
8315 Reliable Pkwy
Chicago, IL 60685
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- West Bloomfield, MI
- NPI 1174694673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289520000000",
"number": "1508167107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"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",
"fax_number": "248-857-7588"
},
{
"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": "248-666-5552"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH OAKLAND ASC, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OAKLAND PHYSICIANS MEDICAL CENTER",
"enumeration_date": "2010-11-12",
"last_updated": "2010-11-12",
"status": "A",
"authorized_official_last_name": "DERUBEIS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "248-857-7583",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CFO"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Nov 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.