Organization Active NPI

Oakland Macomb Obstetrics & Gynecology, PC

  • Obstetrics & Gynecology Physician
  • Rochester Hills, MI
National Provider Identifier
1760424139
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
OAKLAND MACOMB OBSTETRICS & GYNECOLOGY, PC
Practice address
1701 South Blvd E
Suite 200
Rochester Hills, MI 48307-6122
Phone
(248) 997-5805
Fax
(248) 997-5811
NPI assigned
Jun 12, 2006
Last updated
Jan 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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

Authorized official

Name
Sherry C Melenovsky
Title
Practice Administrator
Phone
(248) 997-5805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

1701 South Blvd E
Suite 200
Rochester Hills, MI 48307-6122

Mailing address

1701 South Blvd E
Suite 200
Rochester Hills, MI 48307-6122
Phone (248) 997-5805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050119000049 MI Part B Supplier - Clinic/Group Practice 4183673015 Receives reassigned benefits from 32 practitioners
Practice locations: Lenox, MI; Rochester Hills, MI; Troy, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0952818Oakland Macomb Obstetrics & Gynecology PC1701 South Blvd East Suite 200 and 350, Rochester Hills, MI 48307Provider-performed microscopyOct 19, 2026
23D2300851Oakland Macomb Obstetrics & Gynecology, P C1701 South Blvd East Suite LL 25, Rochester Hills, MI 48307Provider-performed microscopyMar 17, 2028

National Provider Directory

National Provider Directory

Locations

1455 S Lapeer Rd
Ste 208
Lake Orion, MI 48360
Phone (248) 232-0090

36555 26 Mile Rd
Ste 2000
Lenox, MI 48048
Phone (586) 620-1000

1701 South Blvd E
Ste 200
Rochester Hills, MI 48307
Phone (248) 997-5805

1701 South Blvd E
Ste LL50
Rochester Hills, MI 48307
Phone (248) 218-4084

4550 Investment Dr
Ste 200
Troy, MI 48098
Phone (248) 267-5040

Interoperability endpoints

  • Direct secure messaging: amyheeringa@omog.allscriptsdirect.net
  • Direct secure messaging: catherinestark@omog.allscriptsdirect.net
  • Direct secure messaging: elenipittenger@omog.allscriptsdirect.net
  • Direct secure messaging: elisewallace@omog.allscriptsdirect.net
  • Direct secure messaging: estherchae@omog.allscriptsdirect.net
  • Direct secure messaging: jamesmcbride@omog.allscriptsdirect.net
  • Direct secure messaging: jenniferpeng@omog.allscriptsdirect.net
  • Direct secure messaging: jillpage@omog.allscriptsdirect.net
  • Direct secure messaging: josephlove@omog.allscriptsdirect.net
  • Direct secure messaging: kerrylee@omog.allscriptsdirect.net
  • Direct secure messaging: marwaibrahim@omog.allscriptsdirect.net
  • Direct secure messaging: meghnadhir@omog.allscriptsdirect.net
  • Direct secure messaging: melissakennedy@omog.allscriptsdirect.net
  • Direct secure messaging: nicolegallagher@omog.allscriptsdirect.net
  • Direct secure messaging: patriciagoymerac@omog.allscriptsdirect.net
  • Direct secure messaging: sandramorgan@omog.allscriptsdirect.net
  • Direct secure messaging: sharonhelmer@omog.allscriptsdirect.net
  • Direct secure messaging: shelleysapick@omog.allscriptsdirect.net
  • Direct secure messaging: soyounbark@omog.allscriptsdirect.net
  • Direct secure messaging: stacihopkins@omog.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389830400000",
    "number": "1760424139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SOUTH BLVD E",
            "address_2": "SUITE 200",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076122",
            "telephone_number": "248-997-5805",
            "fax_number": "248-997-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SOUTH BLVD E",
            "address_2": "SUITE 200",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076122",
            "telephone_number": "248-997-5805",
            "fax_number": "248-997-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND MACOMB OBSTETRICS & GYNECOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2014-01-16",
        "status": "A",
        "authorized_official_last_name": "MELENOVSKY",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "248-997-5805"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.