MCLAREN OAKLAND (NPI# 1053463778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053463778 |
| Entity Type | Organization |
| Organization Name | MCLAREN OAKLAND |
| Practice Address |
50 N Perry St Pontiac MI 48342-2217 |
| Practice Telephone | 2483385000 |
| Practice Fax Number | 2483385564 |
| Mailing Telephone | 2483385000 |
| Mailing Fax Number | 2483385564 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-05-01 |
| Authorized Official Name | LYNN MARCOTTE (VP/CFO) |
| Authorized Official Telephone | 2483385691 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 630120 | MI | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 630120 | MI | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 630120 | MI | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
630120 | MI | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | 630120 | MI | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
630120 | MI | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 630120 | MI | Allopathic & Osteopathic Physicians |
| N | 213E00000X | Podiatrist | 630120 | MI | Podiatric Medicine & Surgery Service Providers |
| Y | 207Q00000X | Family Medicine | 630120 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM PROG GRP PODIATRY | 700F373630 | 01 |
| MI | BCBSM PROF GRP MD DO | 700F376860 | 01 |
| Other Name | Type Code |
|---|---|
| McLaren Oakland | Doing Business As Name - Organization |
| Pontiac Osteopathic Hospital | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174765945 | Mclaren Oakland | Clinic/Center | 8172 Reliable Pkwy, Chicago, IL 60686-0001 | 2009-03-25 |
| 1851853543 | Mclaren Oakland | Rehabilitation Unit | 50 N Perry St, Pontiac, MI 48342-2217 | 2019-04-02 |
| 1114300183 | Mclaren Oakland | Nurse Practitioner | 50 N Perry St, Pontiac, MI 48342-2217 | 2015-07-08 |
| 1528468220 | Mclaren Oakland | Family Medicine | 385 N Lapeer Rd, Oxford, MI 48371-3610 | 2014-08-29 |
| 1790055143 | Mclaren Oakland | Family Medicine | 50 N Perry St, Pontiac, MI 48342-2217 | 2012-01-03 |
| 1528143302 | Mclaren Oakland | Pharmacy | 50 N Perry St, Pontiac, MI 48342 | 2006-10-27 |
| 1376564088 | Mclaren Oakland | Psychiatric Unit | 50 N Perry St, Pontiac, MI 48342-2217 | 2006-07-21 |
| Street Address |
50 N PERRY ST |
| City | PONTIAC |
| State | MI |
| Zip Code | 48342-2217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003890856 | Matthew Swayze | Emergency Medicine | 50 N Perry St, Pontiac, MI 48342-2217 | 2005-12-05 |
| 1962000539 | Belinda Becker | Nurse Practitioner | 50 N Perry St, Pontiac, MI 48342-2217 | 2020-10-15 |
| 1336765486 | Mikita Patel | Student in an Organized Health Care Education/Training Program | 50 N Perry St, Pontiac, MI 48342-2217 | 2020-06-24 |
| 1306461264 | Brandon Knight | Student in an Organized Health Care Education/Training Program | 50 N Perry St, Pontiac, MI 48342-2217 | 2020-06-16 |
| 1295350122 | Stephanie Schwartz | Student in an Organized Health Care Education/Training Program | 50 N Perry St, Pontiac, MI 48342-2217 | 2020-06-16 |
| 1437774833 | Cailyn D'haem | Student in an Organized Health Care Education/Training Program | 50 N Perry St, Pontiac, MI 48342-2217 | 2020-06-11 |
| 1790300358 | Sara F Iqbal | Student in an Organized Health Care Education/Training Program | 50 N Perry St, Pontiac, MI 48342-2217 | 2020-06-10 |
| 1053936617 | Bodrie J Jensen | Student in an Organized Health Care Education/Training Program | 50 N Perry St, Pontiac, MI 48342-2217 | 2020-06-10 |
| 1033734694 | Neal R Krentz | Student in an Organized Health Care Education/Training Program | 50 N Perry St, Pontiac, MI 48342-2217 | 2020-06-10 |
| 1154946713 | Gurkirat Jawanda | Student in an Organized Health Care Education/Training Program | 50 N Perry St, Pontiac, MI 48342-2217 | 2020-06-10 |
| Find all providers in the same location | ||||
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163465 | Salta of Auburn Hills | Family Medicine | 2191 S South Blvd, Suite 101c, Pontiac, MI 48326-3481 | 2020-10-29 |
| 1366936742 | Xiao Ji Chen | Family Medicine | 461 West Huron St Suite 107 Admin, Pontiac, MI 48341 | 2018-06-19 |
| 1396248464 | Amber Kay Jones | Family Medicine | 2500 W Reynolds St Ste 207, Pontiac, IL 61764-9774 | 2018-03-14 |
| 1619423225 | Mariam Haq | Family Medicine | 461 W Huron St., Pontiac, MI 48341 | 2016-09-01 |
| 1811349079 | Divjot Minhas | Family Medicine | 145 Seminole St, Pontiac, MI 48341-1641 | 2016-07-11 |
| 1750579660 | John C Purnell | Family Medicine | 401 E Water St, Pontiac, IL 61764-2023 | 2007-10-05 |
| 1518189786 | Madison Street Clinic P.C. | Family Medicine | 520 W Madison St, Pontiac, IL 61764-1729 | 2007-05-03 |
| 1619199171 | Jann E. Trzeciak | Family Medicine | 1915 N Perrt Street, Pontiac, MI 48340 | 2007-05-03 |
| 1881740579 | Philip S. Durocher | Family Medicine | 1201 N Telegraph Rd, Oakland County Jail, Pontiac, MI 48341-1029 | 2007-01-26 |
| 1457426363 | J C Purnell Md Sc | Family Medicine | 401 E Water Street, Pontiac, IL 61764-0470 | 2006-11-24 |
| Find all providers in PONTIAC | ||||
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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.