Oakland Ophthalmic Surgery PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

OAKLAND OPHTHALMIC SURGERY PC

Practice address

800 S Adams Rd
Suite 201
Birmingham, MI 48009-7005

Phone

(248) 644-8060

Fax

(248) 644-5081

NPI assigned

Sep 6, 2005

Organization subpart

No

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

Authorized official

Name

Joseph Pravoot GiraNPI 1861481152

Title

Owner

Phone

(314) 909-0633

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/93as17mb

Practitioners 9

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

• Sanah Aslam, MD

  • Ophthalmology Physician
  • Detroit, MI
  • NPI 1811576291
  Medicare reassignment Care Compare group NPD
• John James Bushaw IV, OD

  • Optometrist
  • Birmingham, MI
  • NPI 1871084723
  Medicare reassignment Care Compare group NPD
• Frances Meram Ceritano, O.D

  • Optometrist
  • Southfield, MI
  • NPI 1033141627
  Medicare reassignment Care Compare group NPD
• Ethan Jared Dupuis, OD

  • Optometrist
  • Detroit, MI
  • NPI 1740073238
  Medicare reassignment Care Compare group NPD
• Robert C. Erickson, M.D.

  • Ophthalmology Physician
  • Birmingham, MI
  • NPI 1760476535
  Medicare reassignment Care Compare group NPD
• Maria Jancevski, M.D.

  • Ophthalmology Physician
  • Birmingham, MI
  • NPI 1467661918
  Medicare reassignment Care Compare group NPD
• Timothy P Page, M.D.

  • Ophthalmology Physician
  • Birmingham, MI
  • NPI 1659365443
  Medicare reassignment Care Compare group NPD
• Kirby James Taylor, MS, MD

  • Ophthalmology Physician
  • Austin, TX
  • NPI 1073256640
  Care Compare group NPD
• Joseph Pravoot Gira, MD

  • Ophthalmology Physician
  • Des Peres, MO
  • NPI 1861481152
  NPD (past) Authorized official

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1801880984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S ADAMS RD",
            "address_2": "SUITE 201",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480097005",
            "telephone_number": "248-644-8060",
            "fax_number": "248-644-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S ADAMS RD",
            "address_2": "SUITE 201",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480097005",
            "telephone_number": "248-644-8060",
            "fax_number": "248-644-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND OPHTHALMIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-06",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "GIRA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "PRAVOOT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-909-0633"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0F37296",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "180F372960",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nourished Psychotherapy, LLC
• Ryan Wendell Nowatzke, MD
• Stephen O'Neill, LMSW.
• Oakland Counseling Services
• Oakland Family Wellness
• Ocd and Anxiety Michigan, PLLC
• Michael Andrew Olesnavich
• Lisa Olinger, LMSW, MA
• Oliphant Consulting, Inc.
• Jacquelyn Oliphant, PH.D.

• Ophthalmology Physician in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.