NORTH OAKLAND ASC LLC (NPI# 1942393475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942393475 |
| Entity Type | Organization |
| Organization Name | NORTH OAKLAND ASC LLC |
| Practice Address |
1305 North Oakland Blvd Waterford MI 48327-1547 |
| Mailing Address |
461 West Huron St Suite 206 Pontiac MI 48341-0000 |
| Practice Telephone | 2486665552 |
| Practice Fax Number | 2486665549 |
| Mailing Telephone | 2488577583 |
| Mailing Fax Number | 2488577588 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2011-03-16 |
| Authorized Official Name | MICHAEL L DERUBEIS (CFO) |
| Authorized Official Telephone | 2488577583 |
| Is Organization Subpart | Y |
| Parent Organization Name | OAKLAND PHYSICIANS MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
636823 | MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS - FACILITY | 40347 | 01 |
| MI | MCARE | 17412 | 01 |
| MI | CARE CHOICES | 141676 | 01 |
| MI | BCBS - PROFESSIONAL | 490F32891 | 01 |
| MI | BCN | B0100 | 01 |
| Street Address |
1305 NORTH OAKLAND BLVD |
| City | WATERFORD |
| State | MI |
| Zip Code | 48327-1547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700418555 | Dental House - Waterford, Pllc | Clinic/Center | 5979 Highland Road, Waterford Twp, MI 48327 | 2020-02-10 |
| 1063924793 | Carolyn Mirretti | Social Worker | 7110 Round Hill Drive, Apt. A2, Waterford, MI 48327 | 2017-11-03 |
| 1972022358 | Mary Frances Halfpenny | Registered Nurse | 5741 Berkley Dr, Waterford, MI 48327 | 2017-09-17 |
| 1407377443 | Crystal Marie Degrandchamp | Counselor | 1370 N. Oakland Blvd., Suite 105, Waterford, MI 48327 | 2017-06-29 |
| 1366987489 | Graceful Living, Reinventing In-home Senior Care | Home Health | 6926 Highland Road, Suite 2, Waterford, MI 48327 | 2016-12-28 |
| 1134678378 | Jacqueline Bleisch | Home Health | 2440 Jones Rd., Waterford, MI 48327 | 2016-09-29 |
| 1033665385 | Charles Weems | Counselor | Meridian Health Services, 1255 N. Oakland Blvd., Waterford, MI 48327 | 2016-08-28 |
| 1124480777 | Raymond S Kanar | Counselor | 1255 North Oakland Blvd., Waterford, MI 48327 | 2016-03-23 |
| 1750765798 | Shatha Matti | Pharmacist | 7362 Highland Road, Waterford, MI 48327 | 2015-07-18 |
| 1548647233 | Oakland Physicians Medical Center LLC | Clinic/Center | 1035 N. Oakland Blvd., Waterford, MI 48327 | 2015-05-01 |
| Find all providers in zip 48327 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467788729 | Waterford Surgical Center, LLC | Clinic/Center | 5220 Highland Rd, Suite 100, Waterford, MI 48327-1975 | 2009-10-21 |
| 1578629242 | The Waterford Partners Center, LLC | Clinic/Center | 5220 Highland Rd, Suite 100, Waterford, MI 48327-1913 | 2006-12-28 |
| 1588681373 | Constitution Surgery Center East LLC | Clinic/Center | 174 Cross Rd, Waterford, CT 06385-1215 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1588285050 | Hall Road Asc LLC | Clinic/Center | 11051 Hall Rd Ste 100, Utica, MI 48317-5737 | 2020-05-06 |
| 1235750431 | Precision Surgery Center LLC | Clinic/Center | 22701 Hall Road, Macomb, MI 48042 | 2020-04-29 |
| 1790306991 | Grass Lake Surgery Center LLC | Clinic/Center | 3800 Centennial Blvd, Grass Lake, MI 49240 | 2020-04-29 |
| 1992339147 | Movi Asc Management LLC | Clinic/Center | 5250 Auto Club Drive, Suite 170, Dearborn, MI 48126-2619 | 2020-02-26 |
| 1609409929 | Firestone Procedure Center LLC | Clinic/Center | 4520 Firestone St Ste C, Dearborn, MI 48126-4602 | 2020-02-14 |
| 1255972113 | Center Health Surgery Center LLC | Clinic/Center | 30671 Stephenson Hwy Ste F, Madison Heights, MI 48071-1635 | 2019-10-02 |
| 1942851639 | Northern Michigan Surgical Suites, LLC | Clinic/Center | 825 Moll Dr, Boyne City, MI 49712-9182 | 2019-09-24 |
| 1699328146 | Alliance Surgery Center, LLC | Clinic/Center | 3663 North Country Drive, Traverse City, MI 49684-4587 | 2019-07-23 |
| 1407313802 | Spectrum Health Hospitals | Clinic/Center | 4069 Lake Dr Se Ste 210, Grand Rapids, MI 49546-8816 | 2019-02-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NORTH OAKLAND ASC LLC.
| 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.