OAKLAND PRIMARY HEALTH SERVICES, INC. (NPI# 1780601740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780601740 |
| Entity Type | Organization |
| Organization Name | OAKLAND PRIMARY HEALTH SERVICES, INC. |
| Other Organization Name | OPHS |
| Practice Address |
46156 Woodward Ave Suite B Pontiac MI 48342-5033 |
| Practice Telephone | 2483226747 |
| Practice Fax Number | 2483225787 |
| Mailing Telephone | 2483226747 |
| Mailing Fax Number | 2483225787 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2016-07-28 |
| Authorized Official Name | MS. SHARON BERRY (CFO) |
| Authorized Official Telephone | 2483226747 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS MD/DO | 700F300860 | 01 |
| MI | 104632453 | 05 | |
| MI | BCBS NURSE PRACTITIONER BILLING | 500F399040 | 01 |
| Other Name | Type Code |
|---|---|
| OPHS | Other Name - Individual/Organization |
| Street Address |
46156 WOODWARD AVE SUITE B |
| City | PONTIAC |
| State | MI |
| Zip Code | 48342-5033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578561015 | Angela M Porter | Internal Medicine | 46156 Woodward Ave, Suite B, Pontiac, MI 48342-5033 | 2005-07-08 |
| 1235651381 | The Wellness Plan Medical Centers | Family Medicine | 46156 Woodward Ave, Pontiac, MI 48342-5033 | 2017-07-11 |
| 1245775683 | Erinma Onyekachi Ezeugwa | Nurse Practitioner | 46156 Woodward Ave, Pontiac, MI 48342-5033 | 2016-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528589561 | Beloved Home Care LLC. | Home Health | 12 S Mill. St., Apt.314, Pontiac, MI 48342 | 2017-06-29 |
| 1518496942 | Boris Tkach | Student in an Organized Health Care Education/Training Program | 50 N. Perry, Pontiac, MI 48342 | 2017-06-08 |
| 1023547429 | Nicholas James Stepanski | Student in an Organized Health Care Education/Training Program | 50 N. Perry St., Pontiac, MI 48342 | 2017-06-08 |
| 1245769991 | Mecca House Corporation | Assisted Living Facility | 53 West Huron, Pontiac, MI 48342 | 2017-06-07 |
| 1134672868 | Shannon Blaine | Technician, Other | 103 Parkhurst Street, Pontiac, MI 48342 | 2016-07-29 |
| 1669819249 | Bonnie Ann Smith | Occupational Therapist | 60 Parkhurst Dr., Pontiac, MI 48342 | 2013-05-23 |
| 1205123361 | Mary Ellen Kenworthy | Emergency Medicine | 50 North Perry Street, Pontiac, MI 48342 | 2011-07-08 |
| 1740516343 | Nathima Habib Atchoo | Obstetrics & Gynecology | 90 West University, Gary Burnstein Community Health Clinic (free Clinic), Pontiac, MI 48342 | 2009-11-02 |
| 1881824233 | Sylvia Lyn Thompson | Physical Therapist | 900 Auburn Road, Pontiac, MI 48342 | 2009-07-20 |
| 1114154150 | Kyannah Toyann Anderson | Home Health | 175 S.edith St, Pontiac, MI 48342 | 2009-06-17 |
| Find all providers in zip 48342 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205363207 | Oakland Integrated Healthcare Network | Clinic/Center | 1275 N Perry St, Pontiac, MI 48340-3135 | 2017-05-22 |
| 1962765529 | Oakland Integrated Healthcare Network | Clinic/Center | 114 Orchard Lake, Pontiac, MI 48341-2244 | 2012-06-19 |
| 1558629238 | Oakland Integrated Healthcare Network | Clinic/Center | 816 Joslyn, Pontiac, MI 48340 | 2012-05-01 |
| 1316214299 | Oakland Integrated Healthcare Network | Clinic/Center | 461 W. Huron, Suite 107, Pontiac, MI 48341-2244 | 2011-11-21 |
| 1700315223 | Oakland Integrated Healthcare Network | Clinic/Center | 1051 Arlene Ave, Pontiac, MI 48340-2904 | 2017-06-08 |
| 1265975122 | Oakland Integrated Healthcare Network | Clinic/Center | 196 Cesar E Chavez Ave, Pontiac, MI 48342-1094 | 2016-11-28 |
| 1457711202 | Oakland Integrated Healthcare Network | Clinic/Center | 1701 Baldwin Ave, Pontiac, MI 48340-3412 | 2016-03-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.