NPIMap

Organization Active NPI

Pontiac General Hospital & Medical Centers

Doing business as North Oakland Medical Center

  • Surgery Physician
  • Pontiac, MI
National Provider Identifier
1639217839
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
PONTIAC GENERAL HOSPITAL & MEDICAL CENTERS
Doing business as
North Oakland Medical Center
Practice address
461 W Huron St
Seminole Clinic
Pontiac, MI 48341-1601
Phone
(248) 857-7200
NPI assigned
Feb 1, 2007
Last updated
Sep 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
John Graham
Title
Ceo
Phone
(248) 857-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MI Primary

Addresses

Primary practice location

461 W Huron St
Seminole Clinic
Pontiac, MI 48341-1601

Mailing address

8198 Reliable Pkwy
Chicago, IL 60686-0001

Other names 1

  • North Oakland Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

8198 Reliable Pkwy
Chicago, IL 60686

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1639217839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8198 RELIABLE PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606860001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 W HURON ST",
            "address_2": "SEMINOLE CLINIC",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411601",
            "telephone_number": "248-857-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONTIAC GENERAL HOSPITAL & MEDICAL CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-857-7200"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Oakland Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pontiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.