OrganizationActive
North Oakland Asc, LLC
NPI 1508167107 · Gastroenterology Physician · Waterford, MI
Provider details
- NPI number
- 1508167107
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Oakland Physicians Medical Center
- Organization subpart
- Yes
- Authorized official
- Michael Derubeis, Cfo(248) 857-7583
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1305 N Oakland Blvd
Waterford, MI 48327-1547
Phone: (248) 666-5552
Street-level locationGet directions
Mailing address
461 W Huron St
Pontiac, MI 48341-1601
Registry dates
- Enumerated
- 2010-11-12
- Last updated
- 2010-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.