Oakland Primary Health Services, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

OAKLAND PRIMARY HEALTH SERVICES, INC.

Practice address

46156 Woodward Ave
Suite B
Pontiac, MI 48342-5033

Phone

(248) 322-6747

Fax

(248) 322-5787

NPI assigned

Jul 16, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Sharon Berry

Title

Cfo

Phone

(248) 322-6747

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• OPHS Other name

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cheryl Elaine Nickolaou, FNP

  • Family Nurse Practitioner
  • Burton, MI
  • NPI 1821466277
  NPD (past)
• Adijat Ogunyemi, SOCIAL WORKER

  • Clinical Social Worker
  • Dearborn, MI
  • NPI 1093051153
  NPD (past)
• Angela M Porter, MD

  • General Practice Physician
  • Pontiac, MI
  • NPI 1578561015
  NPD (past)
• Patricia Ann Szymanski, LMSW-CLINICAL

  • Clinical Social Worker
  • Mount Clemens, MI
  • NPI 1033530282
  NPD (past)

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1780601740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46156 WOODWARD AVE",
            "address_2": "SUITE B",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483425033",
            "telephone_number": "248-322-6747",
            "fax_number": "248-322-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46156 WOODWARD AVE",
            "address_2": "SUITE B",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483425033",
            "telephone_number": "248-322-6747",
            "fax_number": "248-322-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND PRIMARY HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "248-322-6747",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104632453",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MD/DO",
            "identifier": "700F300860",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NURSE PRACTITIONER BILLING",
            "identifier": "500F399040",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPHS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Oakland Physicians Medical Center, LLC
• Oakland Physicians Medical Center, LLC
• Oakland Physicians Medical Center, LLC
• Oakland Physicians Medical Center, LLC
• Oakland Primary Health Services
• Oakland Primary Health Services,Inc
• Oakland Progressive Medical Group, PLLC
• Oaktown Community Homes
• Venus Obi
• Mahmoud Obideen, MD

• Federally Qualified Health Center (FQHC) in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Federally Qualified Health Center (FQHC) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.