Oakland Primary Health Services,Inc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

OAKLAND PRIMARY HEALTH SERVICES,INC

Practice address

46 N Saginaw St
Pontiac, MI 48342-2155

Phone

(248) 322-6747

Fax

(248) 322-5787

NPI assigned

Apr 8, 2008

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lashanea Renee Flagg

Title

Medical Billing Manager

Phone

(248) 322-6747

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• OPHS Former legal business name

Tax ID family

Oakland Primary Health Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Oakland Primary Health Services

  • Family Medicine Physician
  • Pontiac, MI
  • NPI 1104285139
  NPD tax ID
• Oakland Primary Health Services, Inc

  • Student Health Clinic/Center
  • Waterford, MI
  • NPI 1245569607
  NPD tax ID

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1821261116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 N SAGINAW ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422155",
            "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": "46 N SAGINAW ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422155",
            "telephone_number": "248-322-6747",
            "fax_number": "248-322-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND PRIMARY HEALTH SERVICES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "FLAGG",
        "authorized_official_first_name": "LASHANEA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "MEDICAL BILLING MANAGER",
        "authorized_official_telephone_number": "248-322-6747",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4632453",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5220820",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPHS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Oakland Physicians Medical Center, LLC (Pontiac General Hospital)
• Oakland Physicians Medical Center, LLC (Pontiac General Hospital)
• Oakland Physicians Medical Center, LLC (Pontiac General Hospital)
• Oakland Primary Health Services
• Oakland Primary Health Services, Inc.
• Oakland Progressive Medical Group, PLLC
• Oaktown Community Homes
• Venus Obi
• Mahmoud Obideen, MD
• Obstetrics and Gynecology Center of Michigan, PLLC

• Preferred Provider Organization in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Preferred Provider Organization in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.