MICHIGAN SPECIALTY CLINIC PLLC (NPI# 1295247633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295247633 |
Entity Type | Organization |
Organization Name | MICHIGAN SPECIALTY CLINIC PLLC |
Other Organization Name | ADVANCED URGENT CARE CLINIC |
Practice Address |
13510 Michigan Ave Dearborn MI 48126-3511 |
Mailing Address |
Po Box 94670 Oklahoma City OK 73143-4670 |
Practice Telephone | 3139459800 |
Practice Fax Number | 3139459184 |
Mailing Telephone | 4056823303 |
Mailing Fax Number | 3043846793 |
Enumeration Date | 2017-10-25 |
Last Update Date | 2020-03-10 |
Authorized Official Name | FATINA MASRI (CEO) |
Authorized Official Telephone | 3139459800 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Advanced Urgent Care Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730646977 | Michigan Specialty Clinic Pllc | Clinic/Center | 13510 Michigan Ave, Dearborn, MI 48126-3511 | 2019-02-25 |
1457882888 | Michigan Specialty Clinic Pllc | Clinical Medical Laboratory | 13530 Michigan Ave, Suite L2, Dearborn, MI 48126-3574 | 2017-03-27 |
1760700660 | Michigan Specialty Clinic Pllc | Otolaryngology | 13530 Michigan Ave, Suite 120, Dearborn, MI 48126-3583 | 2010-05-17 |
Street Address |
13510 MICHIGAN AVE |
City | DEARBORN |
State | MI |
Zip Code | 48126-3511 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447611926 | Detroit Institute of Pain & Musculoskeletal Medicine | Physical Medicine & Rehabilitation | 13510 Michigan Ave, Dearborn, MI 48126-3511 | 2016-03-11 |
1730646977 | Michigan Specialty Clinic Pllc | Clinic/Center | 13510 Michigan Ave, Dearborn, MI 48126-3511 | 2019-02-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
1417501958 | Ximena Noemi Ortega | Behavior Technician | 6241 Miller Rd, Dearborn, MI 48126 | 2019-08-01 |
1912478827 | Abar Alghazali | Behavior Technician | 4641 Lois, Dearborn, MI 48126 | 2018-12-17 |
1861972457 | Laboratory Specialists of Michigan, LLC | Clinical Medical Laboratory | 13530 Michigan Ave Ste 240, Dearborn, MI 48126 | 2018-08-14 |
1528544806 | Farah Osman | Pharmacist | 14715 Ford Rd, Dearborn, MI 48126 | 2018-07-19 |
1255821328 | Loyal Pharmacy LLC | Pharmacy | 7118 Greenfield Rd St(b), Dearborn, MI 48126 | 2018-05-15 |
1952803900 | Neetika Kesar | Physical Therapist | 15051, Ford Road, Dearborn, MI 48126 | 2018-03-06 |
1396247607 | David Jerome Kurcz | Physical Therapy Assistant | 15051 Ford Road, Henry Ford Village, Dearborn, MI 48126 | 2018-03-02 |
1043732506 | Shadiya Ahmed | Dentist | 4700 Schaefer Rd Ste 190, Dearborn, MI 48126 | 2017-07-16 |
Find all providers in zip 48126 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588199772 | Family Medicine Consultants Pllc | Clinic/Center | 24336 Michigan Ave, Dearborn, MI 48124-1828 | 2017-04-25 |
1619205028 | Michigan-greenfield Urgent Care Pllc | Clinic/Center | 24355 Ford Rd, Dearborn, MI 48128 | 2009-11-23 |
1952911802 | Za Medical Associates | Clinic/Center | 10140 Vernor Hwy, Dearborn, MI 48120-1515 | 2020-08-05 |
1730646977 | Michigan Specialty Clinic Pllc | Clinic/Center | 13510 Michigan Ave, Dearborn, MI 48126-3511 | 2019-02-25 |
1699171884 | Wellness Urgent Care PC | Clinic/Center | 14515 Ford Rd, Dearborn, MI 48126-3151 | 2014-11-14 |
1013311273 | Advance Urgent Care PC | Clinic/Center | 13530 Michigan Ave, Dearborn, MI 48126-3574 | 2014-10-17 |
1669876025 | Michigan Greenfeild Urgent Care Center | Clinic/Center | 24355 Ford Rd, Dearborn, MI 48128-1129 | 2014-10-14 |
1073938429 | Accountable Urgent Care Centers, Pllc | Clinic/Center | 22260 Garrison St, Dearborn, MI 48124-2208 | 2014-02-21 |
1538502307 | Community Urgent Care Pllc | Clinic/Center | 1816 Grindley Park St, Dearborn, MI 48124-2504 | 2013-04-11 |
1629201264 | First Choice Urgent Care PC | Clinic/Center | 23455 Michigan Ave, Suite A, Dearborn, MI 48124-1908 | 2009-08-31 |
Find all providers in DEARBORN |
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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.