Active NPI
Oakman Medical Group P.C.
- Internal Medicine Physician
- Dearborn, MI
National Provider Identifier
1659560696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 115993
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 DirectoryNPI 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.