Organization Active NPI

Oakland Mobile Medical Services

  • Family Medicine Physician
  • Southfield, MI
National Provider Identifier
1750684221
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101007859 Issued in MI
Legal business name
OAKLAND MOBILE MEDICAL SERVICES
Practice address
21310 Independence Dr
Southfield, MI 48076-5545
Phone
(248) 357-2912
NPI assigned
Dec 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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

Authorized official

Name
Allan Louis Schwartz, D.O.
Title
Physician
Phone
(248) 357-2912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 5101007859 MI Primary

Addresses

Primary practice location

21310 Independence Dr
Southfield, MI 48076-5545

Mailing address

21310 Independence Dr
Southfield, MI 48076-5545
Phone (248) 357-2912

Other identifiers 2

IdentifierTypeStateIssuer
0156303015OtherBLUE CROSS BLUE SHIELD OF MICHIGAN
1655392 11MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299110400000",
    "number": "1750684221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21310 INDEPENDENCE DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765545",
            "telephone_number": "248-357-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21310 INDEPENDENCE DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765545",
            "telephone_number": "248-357-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND MOBILE MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2011-03-03",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-357-2912",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101007859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "0156303015",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1655392 11",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; 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.