Provider Demographics
NPI:1083899777
Name:J. MICHAEL OAKS, DO, INC.
Entity Type:Organization
Organization Name:J. MICHAEL OAKS, DO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:OAKS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:614-216-7286
Mailing Address - Street 1:933 HIGH ST
Mailing Address - Street 2:SUITE 116
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-4017
Mailing Address - Country:US
Mailing Address - Phone:614-216-7286
Mailing Address - Fax:614-785-9335
Practice Address - Street 1:933 HIGH ST
Practice Address - Street 2:SUITE 116
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-4017
Practice Address - Country:US
Practice Address - Phone:614-216-7286
Practice Address - Fax:614-785-9335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-01
Last Update Date:2008-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34007130261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health