Organization Active NPI

Oak Park Health Management PLLC

  • Pain Clinic/Center
  • Oak Park, MI
National Provider Identifier
1952984460
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
OAK PARK HEALTH MANAGEMENT PLLC
Practice address
25900 Greenfield Rd Ste 140
Oak Park, MI 48237-1267
Phone
(248) 230-8829
NPI assigned
May 3, 2021
Last updated
May 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Authorized official

Name
Keith Young
Title
Office Manager
Phone
(248) 230-8829

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Pain Clinic/Center 261QP3300X NU Primary

Addresses

Primary practice location

25900 Greenfield Rd Ste 140
Oak Park, MI 48237-1267

Mailing address

25900 Greenfield Rd Ste 140
Oak Park, MI 48237-1267
Phone (248) 230-8829

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1952984460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25900 GREENFIELD RD STE 140",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371267",
            "telephone_number": "248-230-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25900 GREENFIELD RD STE 140",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371267",
            "telephone_number": "248-230-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK PARK HEALTH MANAGEMENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-230-8829"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "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 May 3, 2021; 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.