LINCOLN PARK URGENT CARE (NPI# 1194983916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194983916 |
| Entity Type | Organization |
| Organization Name | LINCOLN PARK URGENT CARE |
| Other Organization Name | PARK URGENT CARE |
| Practice Address |
15101 Southfield Rd Suite 101 Allen Park MI 48101-2697 |
| Practice Telephone | 3133833333 |
| Practice Fax Number | 3133835555 |
| Mailing Telephone | 3133833333 |
| Mailing Fax Number | 3133835555 |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2019-09-24 |
| Authorized Official Name | DR. NAZER ABDEL-FATTAH (PRESIDENT) |
| Authorized Official Telephone | 3133833333 |
| Authorized Official Credential | D.O |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4404850 | 05 |
| Other Name | Type Code |
|---|---|
| Park Urgent Care | Doing Business As Name - Organization |
| Street Address |
15101 SOUTHFIELD RD SUITE 101 |
| City | ALLEN PARK |
| State | MI |
| Zip Code | 48101-2697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316926165 | Kirti Jain | Family Medicine | 15101 Southfield Rd, Ste 102, Allen Park, MI 48101-2664 | 2006-01-11 |
| 1417270018 | Alex Mataverde Md PC | General Practice | 15101 Southfield Rd, Allen Park, MI 48101-2697 | 2010-03-10 |
| 1346579620 | Mohammed Yazbek | Internal Medicine | 15101 Southfield Rd, Suite 101, Allen Park, MI 48101-2697 | 2009-12-15 |
| 1649415100 | Premier Spinal Pain Management Center, Pllc | Radiology | 15101 Southfield Rd, Suite 103, Allen Park, MI 48101-2697 | 2008-12-11 |
| 1952550774 | Wyandotte Physician Practices | Surgery | 15101 Southfield Rd, Allen Park, MI 48101-2697 | 2008-09-17 |
| 1760649933 | Sham L Gupta Md PC | Surgery | 15101 Southfield Rd, Suite 102, Allen Park, MI 48101-2697 | 2008-05-16 |
| 1053516617 | Lincoln Park Urgent Care P.C. | Emergency Medicine | 15101 Southfield Rd, Suite 101, Allen Park, MI 48101-2697 | 2007-06-15 |
| 1821161621 | Alex Q Mataverde | Internal Medicine | 15101 Southfield Rd, Allen Park, MI 48101-2697 | 2006-11-17 |
| 1245324656 | Fa Enterprises Inc | Pharmacy | 15101 Southfield Rd, Ste 101, Allen Park, MI 48101-2697 | 2006-10-03 |
| 1518923382 | Nazer Abdel Fattah | Emergency Medicine | 15101 Southfield Rd, Suite 101, Allen Park, MI 48101-2697 | 2006-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184126633 | Monica Yalamanchili | Physical Therapist | 7445 Regina Ave, Allen Park, MI 48101 | 2018-03-01 |
| 1669928685 | Saad Khizar Usmani | Dentist | 6760 Allen Road, Suite 101, Allen Park, MI 48101 | 2016-08-30 |
| 1265778385 | Rx Discount Pharmacy | Pharmacy | 6811 Allen Rd, Allen Park, MI 48101 | 2012-12-18 |
| 1841540333 | Semaj Amia Dunson | Counselor | 4485 Willow Cove Blvd, Apt-a2, Allen Park, MI 48101 | 2012-09-12 |
| 1356678866 | Stephanie A Rea | Family Medicine | 8338 Allen Road, Suite 101, Allen Park, MI 48101 | 2009-11-05 |
| 1811133952 | John A. Newell | Family Medicine | 14839 Markese, Allen Park, MI 48101 | 2008-12-19 |
| 1497924203 | Kimberly Ann Polchlopek | Massage Therapist | 7740 Allen Rd, Allek Park, MI 48101 | 2008-02-26 |
| 1518177997 | Dana Marie Olson | Obstetrics & Gynecology | Oakwood Healthcare Center Allen Park, 15915 Southfield Road, Suite 100, Allen Park, MI 48101 | 2007-05-23 |
| 1316164098 | Early Solutions Clinic, LLC | Clinic/Center | 3555 Fairland Blvd., Allen Park, MI 48101 | 2007-04-20 |
| 1730201427 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 3565 Fairlane Dr., Allen Park, MI 48101 | 2007-04-04 |
| Find all providers in zip 48101 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033325196 | Donna Rickman | Specialist | 16040 Goddard Rd, Allen Park, MI 48101-3304 | 2007-05-15 |
| 1881738524 | Dialysis Access Center Plc | Specialist | 16507 Southfield Rd, Allen Park, MI 48101-2503 | 2007-02-16 |
| 1316917917 | Elias G Gennaoui | Specialist | 14825 Southfield Rd, Allen Park, MI 48101-2642 | 2006-01-25 |
| 1811401045 | Supra Vascular Associates Plc | Specialist | 16507 Southfield Rd, Allen Park, MI 48101-2503 | 2017-11-27 |
| 1225204712 | Bohdan Hnatiuk, M.d., P.C. | Specialist | 7636 Allen Rd, Allen Park, MI 48101-1926 | 2008-05-05 |
| 1205000205 | Elias G Gennaoui M.d. PC | Specialist | 14825 Southfield Rd, Allen Park, MI 48101-2642 | 2008-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574118 | Gada Santos | Specialist | 10786 Pine St, Taylor, MI 48180-3440 | 2020-10-07 |
| 1750995361 | Advanced Spinal Reconstruction Pllc | Specialist | 972 Chesterfield Ave, Birmingham, MI 48009-1223 | 2020-09-01 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1235765827 | Magic Touch Salon | Specialist | 746 Burton St Se, Grand Rapids, MI 49507-3204 | 2020-03-16 |
| 1144865411 | Yasmeen Global Beauty Group | Specialist | 21701 W 11 Mile Rd Ste 7, Southfield, MI 48076-3713 | 2019-11-11 |
| 1255990552 | Kboose | Specialist | 3008 Juneberry Ave Se, Grand Rapids, MI 49508-1523 | 2019-06-10 |
| 1124685789 | Grooming Arts Lounge and Gallery | Specialist | 19520 Dorset St, Southfield, MI 48075-7112 | 2019-05-20 |
| 1144787326 | At Home Physician Management Group Co. | Specialist | 27440 Hoover Rd Ste C, Warren, MI 48093-7726 | 2019-02-25 |
| 1821561200 | Bailee J Moffitt | Specialist | 913 W Holmes Rd Unit 200, Lansing, MI 48910-0426 | 2019-01-08 |
| 1871064808 | Shanna E Cook | Specialist | 20843 Garden Ln, Ferndale, MI 48220-2217 | 2018-12-17 |
| Find all providers with the same taxonomy | ||||
| City | ALLEN PARK |
| Zip Code | 48101 |
Please comment or provide details below to improve the information on LINCOLN PARK URGENT CARE.
| 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.