Organization Active NPI

Oakman Medical Group P.C.

  • Internal Medicine Physician
  • Dearborn, MI
National Provider Identifier
1659560696
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
115993 Issued in MI
Legal business name
OAKMAN MEDICAL GROUP P.C.
Practice address
15120 Michigan Ave
Dearborn, MI 48126-2916
Phone
(313) 582-2142
Fax
(313) 582-8627
NPI assigned
Oct 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Mrs. Carolyn S Melville
Title
Office Manager
Phone
(313) 582-2142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 115993 MI Primary

Addresses

Primary practice location

15120 Michigan Ave
Dearborn, MI 48126-2916

Mailing address

15120 Michigan Ave
Dearborn, MI 48126-2916
Phone (313) 582-2142

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1659560696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15120 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262916",
            "telephone_number": "313-582-2142",
            "fax_number": "313-582-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15120 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262916",
            "telephone_number": "313-582-2142",
            "fax_number": "313-582-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKMAN MEDICAL GROUP P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "MELVILLE",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "313-582-2142",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "115993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.