NPIMap

Organization Active NPI

Oakland Physicians Medical Center LLC

Doing business as Waterford Ambulatory Care Center

  • Urgent Care Clinic/Center
  • Waterford, MI
National Provider Identifier
1548647233
Registry record updated Sep 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
L484993 Issued in MI
Legal business name
OAKLAND PHYSICIANS MEDICAL CENTER LLC
Doing business as
Waterford Ambulatory Care Center
Practice address
1035 N. Oakland Blvd.
Waterford, MI 48327
Phone
(248) 666-9000
Fax
(248) 857-6842
NPI assigned
May 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2017

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

Authorized official

Name
Mr. Timothy Jodway
Title
Chief Financial Officer
Phone
(248) 857-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X L484993 MI Primary

Addresses

Primary practice location

1035 N. Oakland Blvd.
Waterford, MI 48327

Mailing address

461 W. Huron Road
Pontiac, MI 48341
Phone (248) 857-7200

Other names 1

  • Waterford Ambulatory Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Oakland Physician Med LLC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504828800000",
    "number": "1548647233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 W. HURON ROAD",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "48341",
            "telephone_number": "248-857-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 N. OAKLAND BLVD.",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "48327",
            "telephone_number": "248-666-9000",
            "fax_number": "248-857-6842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND PHYSICIANS MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-01",
        "last_updated": "2017-09-08",
        "status": "A",
        "authorized_official_last_name": "JODWAY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "248-857-7200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MI",
            "license": "L484993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waterford Ambulatory Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 8, 2017; 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.