WAYNE URGENT CARE PLLC (NPI# 1104271170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104271170 |
| Entity Type | Organization |
| Organization Name | WAYNE URGENT CARE PLLC |
| Other Organization Name | WAYNE PRIMARY CARE |
| Practice Address |
34815 W Michigan Ave Suite 1 Wayne MI 48184-1799 |
| Practice Telephone | 7343897103 |
| Mailing Telephone | 7343897103 |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |
| Authorized Official Name | M NABEEL SHAHID (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 7343897103 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAYNE URGENT CARE PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301096451 | MI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Wayne Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568817534 | Wayne Urgent Care Pllc | Family Medicine | 34815 W Michigan Ave, Suite 1, Wayne, MI 48184-1799 | 2016-04-27 |
| 1194133769 | Wayne Urgent Care Pllc | Clinic/Center | 34815 W Michigan Ave, Suite1, Wayne, MI 48184-1799 | 2014-07-28 |
| Street Address |
34815 W MICHIGAN AVE SUITE 1 |
| City | WAYNE |
| State | MI |
| Zip Code | 48184-1799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932108388 | Ranajit Sil | Psychiatry & Neurology | 34815 W Michigan Ave, Ste C, Wayne, MI 48184-1799 | 2005-07-19 |
| 1568817534 | Wayne Urgent Care Pllc | Family Medicine | 34815 W Michigan Ave, Suite 1, Wayne, MI 48184-1799 | 2016-04-27 |
| 1831508787 | Jie Qiu | Nurse Practitioner | 34815 W Michigan Ave, Wayne, MI 48184-1799 | 2014-08-05 |
| 1194133769 | Wayne Urgent Care Pllc | Clinic/Center | 34815 W Michigan Ave, Suite1, Wayne, MI 48184-1799 | 2014-07-28 |
| 1982015269 | Saniyah Shahid | Social Worker | 34815 W Michigan Ave, Wayne, MI 48184-1799 | 2014-05-08 |
| 1659710861 | Nekea Keannie Franklin | Nurse Practitioner | 34815 W Michigan Ave, Ste. C, Wayne, MI 48184-1799 | 2013-06-20 |
| 1255774592 | A A & K Drugs, Inc. | Pharmacy | 34815 W Michigan Ave, Suite B, Wayne, MI 48184-1799 | 2013-04-16 |
| 1508181694 | Saima Afreen Syed | Family Medicine | 34815 W Michigan Ave, Suite 1, Wayne, MI 48184-1799 | 2010-03-31 |
| 1275741647 | Matthew C. Holtzman | Psychiatry & Neurology | 34815 W Michigan Ave, C, Wayne, MI 48184-1799 | 2007-05-18 |
| 1447389044 | Gregory L. Gliha | Physician Assistant | 34815 W Michigan Ave, Ste A, Wayne, MI 48184-1799 | 2007-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215570932 | Wayne Rx | Pharmacy | 4603 Wayne Rd, Wayne, MI 48184 | 2019-10-25 |
| 1669902433 | Randi Oswald | Massage Therapist | 34336 Richard St., Wayne, MI 48184 | 2017-06-14 |
| 1306393822 | Amanda Anastasoff | Technician, Other | 35640 West Michigan Avenue, Wayne, MI 48184 | 2016-09-01 |
| 1871941302 | Christopher Schrimscher | Technician, Other | 34560 Michigan Avenue W, Wayne, MI 48184 | 2016-05-25 |
| 1659757334 | Anna Bondy | Technician, Other | 35640 Michigan Ave. West, Wayne, MI 48184 | 2015-08-05 |
| 1992184550 | Carrie Walrath | Community Health Worker | 4234 Niagara, Wayne, MI 48184 | 2015-05-28 |
| 1588043459 | Suzanne Cutlip | Case Manager/Care Coordinator | 35425 Michigan Ave. W. Suite 1, Wayne, MI 48184 | 2015-05-26 |
| 1285021295 | Alicia Allen | Technician, Other | 35640 Michigan Avenue West, Wayne, MI 48184 | 2015-04-17 |
| 1164843850 | Julia Krivoy | Nurse Anesthetist, Certified Registered | 33155 Annapolis St., Beaumont/oakwood Hospital - Wayne, Wayne, MI 48184 | 2013-12-23 |
| 1992130553 | One Stop Pharmacy LLC | Pharmacy | 33950 Van Born Rd, Wayne, MI 48184 | 2013-09-13 |
| Find all providers in zip 48184 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639619125 | William Paterson University of New Jersey (wpunj) | Family Medicine | 358 Hamburg Tpke, Wayne, NJ 07470-2150 | 2017-03-02 |
| 1881019594 | Matthew Evan Bassan | Family Medicine | 330 Ratzer Rd Ste B7, Wayne, NJ 07470-7704 | 2014-03-04 |
| 1174816227 | Renaissance Medical Management Company | Family Medicine | 489 Devon Park Dr, Suite 306, Wayne, PA 19087-1809 | 2011-05-24 |
| 1609166461 | Steven M Nguyen | Family Medicine | 510 Hamburg Tpke Ste 101, Wayne, NJ 07470-2033 | 2011-04-13 |
| 1467607978 | Omar Hisham Nabulsi | Family Medicine | 516 Hamburg Tpke Ste 5, Wayne, NJ 07470-2063 | 2008-11-25 |
| 1235393513 | Robert German Paris | Family Medicine | 35540 W Michigan Ave, Ste #300, Wayne, MI 48184-1626 | 2008-07-15 |
| 1124169966 | Seth Jeremy Koss | Family Medicine | 950 W Valley Rd Ste 2301, Wayne, PA 19087-1846 | 2007-02-12 |
| 1922192517 | Antoinette Deingeniis | Family Medicine | 468 Parish Drive, Suite 6, Wayne, NJ 07470 | 2006-10-03 |
| 1689609042 | Peter E Rubin, Md PC | Family Medicine | 700 Knox Rd, Wayne, PA 19087-2044 | 2006-07-12 |
| 1043247786 | Seymour Schlossberg | Family Medicine | 2 Mayfair Dr, Wayne, NJ 07470-3703 | 2006-06-27 |
| Find all providers in WAYNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.