NPIMap

Organization Active NPI

J.H.S. D.O. P.C.

  • Primary Care Clinic/Center
  • Troy, MI
National Provider Identifier
1669735130
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
J.H.S. D.O. P.C.
Practice address
115 E Long Lake Rd
Troy, MI 48085-5524
Phone
(248) 828-7500
Fax
(248) 813-6511
NPI assigned
Jun 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Authorized official

Name
Patricia Ann Raeb
Title
Administrator
Phone
(248) 828-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

115 E Long Lake Rd
Troy, MI 48085-5524

Mailing address

115 E Long Lake Rd
Troy, MI 48085-5524
Phone (248) 828-7500

Other names 1

  • OAKLAND MEDICAL RESEARCH CENTER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1669735130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E LONG LAKE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480855524",
            "telephone_number": "248-828-7500",
            "fax_number": "248-813-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E LONG LAKE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480855524",
            "telephone_number": "248-828-7500",
            "fax_number": "248-813-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.H.S. D.O. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "RAEB",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-828-7500"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OAKLAND MEDICAL RESEARCH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.