Provider Type Icon

OHANA MEDICAL GROUP PLLC NPI 1497492706


NPI Information

NPI: 1497492706
Provider Name: OHANA MEDICAL GROUP PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 23D2271986

Address:
1218 E GRAND RIVER AVE
PORTLAND, MI
ZIP 48875
Phone: (517) 732-8877
Get Directions

OHANA MEDICAL GROUP PLLC is a family medicine in Portland, MI. The provider is 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. OHANA MEDICAL GROUP PLLC NPI is 1497492706. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1218 E GRAND RIVER AVE
PORTLAND, MI
ZIP 48875-628
Phone: (517) 732-8877
Fax: (517) 659-6376

The provider's authorized official is Anthony L Sands .
The authorized official title is Owner and has the following contact phone number (517) 604-1095.

The CLIA number assigned to this NPI record is 23D2271986 - other - general medical clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/18/2022 and was last updated on 11/9/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryNo
2208D00000XGeneral PracticeNo
3363A00000XPhysician AssistantNo
4363LF0000XNurse PractitionerFamilyNo
5207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.