| Oakland Integrated Healthcare Network | |
|
461 W. Huron Suite 107 Pontiac MI 48341-2244 | |
| (248) 724-7600 | |
| (248) 724-7447 |
| Full Name | Oakland Integrated Healthcare Network |
|---|---|
| Speciality | Clinic/Center |
| Location | 461 W. Huron, Pontiac, Michigan |
| Authorized Official Name and Position | Debra Brinson (CEO) |
| Authorized Official Contact | 2487247438 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oakland Integrated Healthcare Network P.o. Box 430150 Pontiac MI 48343 Ph: (248) 724-7411 | Oakland Integrated Healthcare Network 461 W. Huron Suite 107 Pontiac MI 48341-2244 Ph: (248) 724-7600 |
| NPI Number | 1316214299 |
|---|---|
| Provider Enumeration Date | 11/21/2011 |
| Last Update Date | 02/02/2023 |
| Medicare PECOS PAC ID | 9436313004 |
|---|---|
| Medicare Enrollment ID | O20120611000523 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316214299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Nikhil K Hemady |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457441461 PECOS PAC ID: 8729076591 Enrollment ID: I20040503000514 |
| Provider Name | Nsima M Usen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1144296153 PECOS PAC ID: 9537190194 Enrollment ID: I20050824000504 |
| Provider Name | Jeffrey B Klein |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1447357959 PECOS PAC ID: 4789765470 Enrollment ID: I20080118000732 |
| Provider Name | Faisal M Shareefuddin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538212485 PECOS PAC ID: 5799857454 Enrollment ID: I20080712000089 |
| Provider Name | Kelly L Mason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003848979 PECOS PAC ID: 5496820219 Enrollment ID: I20080813000623 |
| Provider Name | Jason R Ramos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558554998 PECOS PAC ID: 8527123660 Enrollment ID: I20090224000498 |
| Provider Name | Junaed U Haq |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730341868 PECOS PAC ID: 4385796879 Enrollment ID: I20090714000521 |
| Provider Name | Tonya R Fleming Fuller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598093544 PECOS PAC ID: 3072656024 Enrollment ID: I20100130000082 |
| Provider Name | Mark Schury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376510099 PECOS PAC ID: 3971797465 Enrollment ID: I20101028000848 |
| Provider Name | Patrice D Wade-olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326475757 PECOS PAC ID: 5597992404 Enrollment ID: I20131223001016 |
| Provider Name | Ruth E Anthonio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528489762 PECOS PAC ID: 3577789254 Enrollment ID: I20140801001945 |
| Provider Name | Stefanie Peoples |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063820074 PECOS PAC ID: 9739215476 Enrollment ID: I20141125001753 |
| Provider Name | Eduardo Aguin Melendez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235394420 PECOS PAC ID: 0042539611 Enrollment ID: I20150501001964 |
| Provider Name | Michelle Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306994090 PECOS PAC ID: 2668791872 Enrollment ID: I20150508001478 |
| Provider Name | Mohamed Galal Saleh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861566598 PECOS PAC ID: 4284617663 Enrollment ID: I20150918000109 |
| Provider Name | Terrence Haynes |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1164502886 PECOS PAC ID: 6901108877 Enrollment ID: I20160108001686 |
| Provider Name | Latoya Tamara Austin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760745434 PECOS PAC ID: 8123325917 Enrollment ID: I20160622000912 |
| Provider Name | Peter Alnajjar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033131859 PECOS PAC ID: 8426334384 Enrollment ID: I20170410000229 |
| Provider Name | Helen Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427072271 PECOS PAC ID: 2466727714 Enrollment ID: I20171012000992 |
| Provider Name | Letricia Lenise Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255844023 PECOS PAC ID: 0244598555 Enrollment ID: I20171214001267 |
| Provider Name | Megan Montgomery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568901213 PECOS PAC ID: 6800122060 Enrollment ID: I20190725000761 |
| Provider Name | Munni Deb |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740656354 PECOS PAC ID: 9638467400 Enrollment ID: I20200115001289 |
| Provider Name | David J Shumaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508466079 PECOS PAC ID: 9133530090 Enrollment ID: I20201124003315 |
| Provider Name | Mirsida Zholi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467904367 PECOS PAC ID: 1658747712 Enrollment ID: I20221014002487 |
| Provider Name | Lorraine Lee Burgunder-zdravkovski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023641727 PECOS PAC ID: 9638530702 Enrollment ID: I20230804003417 |
| Provider Name | Marzena Luszcz-klejno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396368734 PECOS PAC ID: 1456713387 Enrollment ID: I20230809002989 |
| Provider Name | Scott Andrew Niewinski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558857862 PECOS PAC ID: 4789046988 Enrollment ID: I20230821002076 |
| Provider Name | Jessica Ruth Sutherland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396471280 PECOS PAC ID: 0345602488 Enrollment ID: I20230822000272 |
| Provider Name | Monica Dallo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932675899 PECOS PAC ID: 6002270188 Enrollment ID: I20230907002220 |
| Provider Name | Rosemarie Vitale |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1447997531 PECOS PAC ID: 5799149589 Enrollment ID: I20230912003853 |
| Provider Name | Maria E Summerford |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1851826879 PECOS PAC ID: 3476907403 Enrollment ID: I20231006002581 |
| Provider Name | Faris Shlash |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598542862 PECOS PAC ID: 2264888338 Enrollment ID: I20231025002424 |
| Provider Name | Lizmar Rivera Nunez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851178024 PECOS PAC ID: 2466808415 Enrollment ID: I20231026002804 |
| Provider Name | Naga Preethi Kadiri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063299345 PECOS PAC ID: 1658727235 Enrollment ID: I20231102002399 |
| Provider Name | Eduardwil Josue Hernandez Vegas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902683196 PECOS PAC ID: 4284081688 Enrollment ID: I20231107000860 |
| Provider Name | Oluwabusayo Alade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861279150 PECOS PAC ID: 5890143424 Enrollment ID: I20231121000825 |
| Provider Name | Sanitha Pulikkotil |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003207648 PECOS PAC ID: 1254789209 Enrollment ID: I20231130003334 |
| Provider Name | Anmol Rattan Singh Riar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609648104 PECOS PAC ID: 4082064621 Enrollment ID: I20231222002143 |
| Provider Name | Amna Harrie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972177608 PECOS PAC ID: 6204270853 Enrollment ID: I20240222000552 |
| Provider Name | Susan Schumacher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649619255 PECOS PAC ID: 8224473806 Enrollment ID: I20240305003505 |
| Provider Name | Paul Ulewicz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407206873 PECOS PAC ID: 9638515273 Enrollment ID: I20240306001363 |
| Provider Name | Odeta Muhametaj |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942868252 PECOS PAC ID: 8325486012 Enrollment ID: I20240401000619 |
| Provider Name | Krystal N Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457850414 PECOS PAC ID: 3678912029 Enrollment ID: I20240417003314 |
| Provider Name | Henry Marcano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851164743 PECOS PAC ID: 9830531623 Enrollment ID: I20240524000877 |
| Provider Name | Pamela Elizabeth Werdlow |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1932286812 PECOS PAC ID: 8224470612 Enrollment ID: I20240530003450 |
| Provider Name | Danielle Redilla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295300713 PECOS PAC ID: 4385186519 Enrollment ID: I20240604000529 |
| Provider Name | Jhonny Walter Perusina Banos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922848324 PECOS PAC ID: 3072059955 Enrollment ID: I20240727000258 |
| Provider Name | Atif Rashid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851137954 PECOS PAC ID: 7416493267 Enrollment ID: I20240729002301 |
| Provider Name | Apote D Zekpa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801645148 PECOS PAC ID: 7719424472 Enrollment ID: I20240731001899 |
| Provider Name | Fatima Wajahath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174371314 PECOS PAC ID: 0648717215 Enrollment ID: I20240731002675 |
| Provider Name | Jason Francis Caluducan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821833757 PECOS PAC ID: 0648717223 Enrollment ID: I20240731003137 |
| Provider Name | Swetha Aloori |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295575595 PECOS PAC ID: 8325587280 Enrollment ID: I20240823001678 |
| Provider Name | Bonita Branch-yapa |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1609935758 PECOS PAC ID: 9638450588 Enrollment ID: I20250220001315 |
| Provider Name | Rachel Rita Pizzurro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750107181 PECOS PAC ID: 2365965811 Enrollment ID: I20250326000587 |
Grace Pediatrics Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 44200 Woodward Ave Ste 103, Pontiac, MI 48341 Phone: 248-253-9600 Fax: 248-253-0980 | |
Impact Aco Billing Company Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5516 | |
Oakland Progressive Medical Group, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 461 W Huron St, Suite 600, Seminole Building, Pontiac, MI 48341 Phone: 248-857-7500 | |
Fadi Salloum Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5516 Fax: 248-338-5547 | |
Oakland Physicians Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 461 W Huron St, Pontiac, MI 48341 Phone: 248-857-7583 | |
A.w.c. Fairclough Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 989 University Dr, Suite 107, Pontiac, MI 48342 Phone: 248-334-4773 Fax: 248-334-8230 | |
Oakland Primary Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 46 N Saginaw St, Pontiac, MI 48342 Phone: 248-322-6747 Fax: 248-322-5787 |