Oakland Pediatrics, PLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

RR052769 Issued in MI

Legal business name

OAKLAND PEDIATRICS, PLC

Practice address

100 N Pond Dr
Suite E
Walled Lake, MI 48390-3079

Phone

(248) 669-2273

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Regina E Rizk, MDNPI 1205935020

Title

President

Phone

(248) 699-2273

Specialties & licenses 1

Addresses

Other identifiers 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

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14132/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Regina Elizabeth Rizk, MD

  • Pediatrics Physician
  • Walled Lake, MI
  • NPI 1205935020
  NPD (past) Authorized official
• Candace Christine Dawisha, P.A.

  • Physician Assistant
  • Southfield, MI
  • NPI 1508243031
  NPD (past)
• Yahya F Murad, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • West Bloomfield, MI
  • NPI 1578644712
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1528155264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N POND DR",
            "address_2": "SUITE E",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903079",
            "telephone_number": "248-669-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N POND DR",
            "address_2": "SUITE E",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903079",
            "telephone_number": "248-669-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND PEDIATRICS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "RIZK",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-699-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "RR052769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "350F339890",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Walled Lake, MI
• Providers in Walled Lake, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.