ELIZABETH LAKE URGENT CARE PLLC (NPI# 1538585260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538585260 |
| Entity Type | Organization |
| Organization Name | ELIZABETH LAKE URGENT CARE PLLC |
| Practice Address |
2446 Elizabeth Lake Rd Waterford MI 48328-3310 |
| Mailing Address |
Po Box 70747 Rochester Hills MI 48307-0015 |
| Practice Telephone | 2485611291 |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2014-03-05 |
| Authorized Official Name | FADI DEMASHKIEH (PARTNER) |
| Authorized Official Telephone | 2485611291 |
| 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 |
| Street Address |
2446 ELIZABETH LAKE RD |
| City | WATERFORD |
| State | MI |
| Zip Code | 48328-3310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073166534 | Danielle Lynn Elliott | Nurse Practitioner | 2446 Elizabeth Lake Rd, Waterford, MI 48328-3310 | 2019-07-23 |
| 1164992285 | Lucy Khalil Hanna | Physician Assistant | 2446 Elizabeth Lake Rd, Waterford, MI 48328-3310 | 2018-12-01 |
| 1598244246 | Shera Carolyn Ivy Thompson | Nurse Practitioner | 2446 Elizabeth Lake Rd, Waterford, MI 48328-3310 | 2018-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184125 | Lillian Atty | Pharmacist | 1484 Rivona Dr, Waterford, MI 48328 | 2020-01-31 |
| 1437631850 | Rana Ismail | Pharmacist | 3273 West Huron St, Waterford, MI 48328 | 2018-09-01 |
| 1588181978 | India Dunlap | Social Worker | 279 Summit Dr., Waterford, MI 48328 | 2017-08-25 |
| 1689191280 | Sydney Strandberg | Social Worker | 1145 Parkway, Waterford, MI 48328 | 2017-08-24 |
| 1467982074 | Briana Greenlee | Dietitian, Registered | 3819 Faber Terrace, Waterford, MI 48328 | 2017-06-15 |
| 1922537364 | Lourdes Alzheimer's Special Care | Custodial Care Facility | 2400 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1013446459 | Lourdes Assisted Living | Assisted Living Facility | 2450 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1588019053 | Legacy Dermatology Group PC | Dermatology | 1392 S Cass Lake Rd, Waterford, MI 48328 | 2016-05-03 |
| 1932567989 | Devenia Denise Clayter | Counselor | 255 Summit Dr, Waterford, MI 48328 | 2016-02-05 |
| 1922409739 | Stacey Diggs | Counselor | 250 Elizabeth Lake Road, Biomed Behavorial Healthcare, Waterford, MI 48328 | 2014-09-11 |
| Find all providers in zip 48328 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912454471 | Dr Yeras Pllc | Clinic/Center | 4764 Dixie Highway, Waterford, MI 48329-3525 | 2016-09-01 |
| 1548647233 | Oakland Physicians Medical Center LLC | Clinic/Center | 1035 N. Oakland Blvd., Waterford, MI 48327 | 2015-05-01 |
| 1366644551 | Sjmh Medical Practice-smhc | Clinic/Center | 4400 Highland Rd, Waterford, MI 48328-1222 | 2007-06-01 |
| 1730525015 | Waterford Urgent Care PC | Clinic/Center | 5800 Highland Rd, Waterford, MI 48327-1827 | 2013-05-14 |
| 1366739815 | Oakland Physicians Medical Center | Clinic/Center | 1305 N Oakland Blvd, Waterford, MI 48327-1547 | 2011-07-06 |
| 1336266725 | Early Solutions Clinic, LLC | Clinic/Center | 4200 Highland Rd, Waterford, MI 48328-2137 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449719 | Medical Care One Plc | Clinic/Center | 2539 Ellsworth Rd, Ypsilanti, MI 48197-5619 | 2020-05-19 |
| 1326660929 | Doctors Urgent Care Southfield | Clinic/Center | 29405 Greenfield Rd, Southfield, MI 48076-2226 | 2020-05-18 |
| 1538704218 | West Park Medical Clinic PC | Clinic/Center | 16238 W Warren Ave, Detroit, MI 48228-3701 | 2019-11-17 |
| 1225679822 | The Urgent Care PC | Clinic/Center | 170 W Genesee St Ste B, Frankenmuth, MI 48734-1305 | 2019-10-04 |
| 1508417197 | Vps of Mi Pllc | Clinic/Center | 25880 Outer Dr Ste 1, Lincoln Park, MI 48146-1553 | 2019-09-25 |
| 1356804710 | Southshore Urgent Care Pllc. | Clinic/Center | 20789 Gibraltar Rd, Brownstown Twp, MI 48183-5087 | 2019-04-11 |
| 1871054650 | Warren Urgent Care Walk-in Clinic LLC | Clinic/Center | 30736 Hoover Rd, Warren, MI 48093-2555 | 2019-03-26 |
| 1821553587 | Medpointe Urgent Care Walk In Clinic PC | Clinic/Center | 31290 Groesbeck Hwy, Fraser, MI 48026-2517 | 2019-02-07 |
| 1174088066 | Kb Care, Pllc | Clinic/Center | 4563 Washtenaw Ave Ste B, Ann Arbor, MI 48108-1011 | 2019-02-05 |
| 1700340569 | Nuch of Michigan, Inc. | Clinic/Center | 20782 Thirteen Mile Road, Roseville, MI 48375 | 2019-01-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ELIZABETH LAKE URGENT CARE PLLC.
| 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.