Organization Active NPI

Oak Park Medical Center PC

  • Clinic/Center
  • Oak Park, MI
National Provider Identifier
1780859710
Registry record updated Aug 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
4301052904 Issued in MI
Legal business name
OAK PARK MEDICAL CENTER PC
Practice address
15300 W 9 Mile Rd
Ste.1
Oak Park, MI 48237-2584
Phone
(248) 968-2003
Fax
(248) 968-2276
NPI assigned
Apr 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2012

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

Authorized official

Name
Dr. Raad J Toma, M.D.
Title
Doctor
Phone
(248) 968-2003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 4301052904 MI Primary

Addresses

Primary practice location

15300 W 9 Mile Rd
Ste.1
Oak Park, MI 48237-2584

Mailing address

15300 W 9 Mile Rd
Ste.1
Oak Park, MI 48237-2584
Phone (248) 968-2003

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
23D2162163Ascension Oak Park Medical Center15300 W 9 Mile Road, Oak Park, MI 48237Certificate of waiverFeb 18, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344556800000",
    "number": "1780859710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 W 9 MILE RD",
            "address_2": "STE.1",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372584",
            "telephone_number": "248-968-2003",
            "fax_number": "248-968-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 W 9 MILE RD",
            "address_2": "STE.1",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372584",
            "telephone_number": "248-968-2003",
            "fax_number": "248-968-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK PARK MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2012-08-10",
        "status": "A",
        "authorized_official_last_name": "TOMA",
        "authorized_official_first_name": "RAAD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "248-968-2003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "4301052904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.