PONTIAC GENERAL HOSPITAL
NPI 1134370752
Nurse Anesthetist, Certified Registered in Pontiac, MI

Q: What is Oakland Physicians Medical Center, LLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since October 01, 2008CLIA Certified · 2 labs

461 WEST HURON STREET, PONTIAC, MI 48341(248) 857-7200(248) 857-6842 Get Directions Write a Review

NPPES record last updated: September 8, 2017. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Pontiac General Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PONTIAC GENERAL HOSPITAL (NPI 1134370752) is a healthcare organization registered as a nurse anesthetist, certified registered in Pontiac, Michigan and active in the NPI registry since October 2008. The organization holds 2 active CLIA laboratory certificates and lists Timothy Jodway, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1134370752

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameOAKLAND PHYSICIANS MEDICAL CENTER, LLC

Location Address461 WEST HURON STREETPontiac, MI 48341

Mailing Address461 West Huron StreetPontiac, MI 48341 · (248) 857-7200 · Fax (248) 857-6842

Phone(248) 857-7200

Fax(248) 857-6842

Organization SubpartNo

Authorized OfficialTimothy JodwayChief Financial Officer · (248) 857-7200

Enumeration DateOctober 1, 2008

Last NPPES UpdateSeptember 8, 2017

✔ NPI 1134370752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedAnesthesiologyTaxonomy 207L00000X

461 WEST HURON STREET, Pontiac, MI 48341

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Other Names 1

Doing Business AsPontiac General Hospital

Other Identifiers 3

Medicare OSCAR/certification230013

Medicare UPIN230013

Medicaid5435510MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 23D0685754

Pontiac General Hospital · Pontiac, MI

Active · expires Jul 6, 2027

CLIA Number23D0685754

Laboratory TypeHospital

Certificate Effective DateJuly 7, 2025

Certificate Expiration DateJuly 6, 2027

Laboratory DirectorFayez Daaboul

Laboratory Phone(248) 857-7594

Laboratory LocationPontiac General Hospital461 W Huron, Pontiac, MI 48341

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 23D0703342

Oakland Physician's Medical Center Nursing Department · Pontiac, MI

Active · expires Aug 31, 2028

CLIA Number23D0703342

Laboratory TypeOther

Certificate Effective DateSeptember 1, 2026

Certificate Expiration DateAugust 31, 2028

Laboratory DirectorTheresa Jung

Laboratory Phone(248) 857-7116

Laboratory LocationOakland Physician's Medical Center Nursing Department461 West Huron, Pontiac, MI 48341

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHERAN FERNANDO M.D

Family Medicine

461 WEST HURON STREET, PONTIAC GENERAL HOSPITAL CLINIC
PONTIAC, MI 48341

Oakland County (248) 857-6700

JAMES A RISING MD

Pathology (Anatomic Pathology & Clinical Pathology)

461 WEST HURON STREET, NORTH OAKLAND MEDICAL CENTER
PONTIAC, MI 48341

Oakland County (248) 857-7287

OAKLAND PHYSICIANS MEDICAL CENTER, LLC

Internal Medicine