PRIMARY CARE CENTER PLLC (NPI# 1780292623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780292623 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE CENTER PLLC |
| Practice Address |
3902 Monroe St Dearborn Heights MI 48125-2545 |
| Practice Telephone | 3135621985 |
| Practice Fax Number | 3135620380 |
| Mailing Telephone | 3135621985 |
| Mailing Fax Number | 3135620380 |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-16 |
| Authorized Official Name | DR. NAIFF ALI (SOLE MBR) |
| Authorized Official Telephone | 3139320185 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
3902 MONROE ST |
| City | DEARBORN HEIGHTS |
| State | MI |
| Zip Code | 48125-2545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558445015 | David L. Cooley D.o. P.C. | Family Medicine | 3902 Monroe St, Dearborn Heights, MI 48125-2545 | 2006-10-24 |
| 1467065458 | Eman Ali | Nurse Practitioner | 3902 Monroe St, Dearborn Heights, MI 48125-2545 | 2020-08-28 |
| 1699388850 | Hana Alqadhi | Nurse Practitioner | 3902 Monroe St, Dearborn Heights, MI 48125-2545 | 2020-08-27 |
| 1992151401 | Naiff Ali | Family Medicine | 3902 Monroe St, Dearborn Heights, MI 48125-2545 | 2016-05-13 |
| 1043645286 | Paula Kay Papke | Physician Assistant | 3902 Monroe St, Dearborn Heights, MI 48125-2545 | 2013-09-06 |
| 1861825242 | Ann Marie Frances Gabrielson | Nurse Practitioner | 3902 Monroe St, Dearborn Heights, MI 48125-2545 | 2013-08-20 |
| 1487937744 | Amy Joseph | Physician Assistant | 3902 Monroe St, Dearborn Heights, MI 48125-2545 | 2011-09-23 |
| 1689824948 | Kathryn Holmstrom-baker | Physician Assistant | 3902 Monroe St, Dearborn Heights, MI 48125-2545 | 2008-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063071637 | Smart Rx LLC | Pharmacy | 25464 Van Born Rd, Dearborn Heights, MI 48125 | 2019-06-07 |
| 1558811331 | Jacquelyn Elyoussef | Technician, Other | 3930 Academy St, Dearborn Heights, MI 48125 | 2016-10-05 |
| 1386856375 | Amerigard Development Corporation | Family Medicine | 23850 Van Born Road, Dearborn Heights, MI 48125 | 2007-05-04 |
| 1922140490 | Marie C Petricca | Social Worker | 20382 Van Born Road, Catholic Social Services of Wayne County, Dearborn Heights, MI 48125 | 2007-02-13 |
| 1528025871 | David L Cooley | Family Medicine | 3902 Monroe, Dearborn Heights, MI 48125 | 2006-04-28 |
| 1013998251 | Masha-moss Inc | Pharmacy | 4245 S Beech Daly Rd, Dearborn Heights, MI 48125 | 2005-11-06 |
| 1033639109 | Clinic Rx 2 LLC | Pharmacy | 23850 Van Born Rd, Dearborn Heights, MI 48125 | 2017-06-21 |
| 1932639176 | Olivia J. Furnas | Midwife | 18101 Oakwood Blvd, Dearborn, MI 48125 | 2017-06-19 |
| 1083099303 | Holistic Healer Health Coaching LLC | Nutritionist | 3998 Clippert St, Dearborn Heights, MI 48125 | 2015-07-28 |
| 1396255915 | Lillian Drushelia Herzberg | Registered Nurse | 26827 Annapolis St, Dearborn Hts, MI 48125-1201 | 2017-10-10 |
| Find all providers in zip 48125 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336347673 | On-site Health Services, Pllc | Clinic/Center | 23337 Joy Rd, Dearborn Heights, MI 48127-1505 | 2007-07-09 |
| 1306069497 | Corrine L. Adler,d.o., P.c | Clinic/Center | 2014 Beech Daly Rd., Dearborn Heights, MI 48146 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252458 | Midland Express Urgent and Family Care | Clinic/Center | 600 Cambridge St Ste 1, Midland, MI 48642-4508 | 2020-10-13 |
| 1841805306 | Alex Wagner, LLC | Clinic/Center | 1864 Lakeshore Dr Ste A, Muskegon, MI 49441-1607 | 2020-09-11 |
| 1760013262 | Tranquility Wellness Center | Clinic/Center | 5237 Oakman Blvd Ste B100, Dearborn, MI 48126-4045 | 2020-02-03 |
| 1588295463 | Scheurer Hospital | Clinic/Center | 100 Pigeon Rd Ste C, Bad Axe, MI 48413-8169 | 2020-01-30 |
| 1639718539 | Scheurer Hospital | Clinic/Center | 75 Buschlen Rd, Bad Axe, MI 48413 | 2019-12-26 |
| 1780235465 | Careatc | Clinic/Center | 2221 Health Dr Sw Ste 1500, Grand Rapids, MI 49519-9681 | 2019-09-24 |
| 1821649948 | Hope Primary Care of Birch Run Pllc | Clinic/Center | 9143 Birh Run Rd, Ste 3, Birch Run, MI 48415 | 2019-09-20 |
| 1609425180 | Wafa A Elhassan Md Pllc | Clinic/Center | 1905 S Haggerty Rd, Canton, MI 48188-2025 | 2019-09-08 |
| 1861966244 | Progressive Care Medical Group of Mi, Pllc | Clinic/Center | 734 Starkweather Drive, Lansing, MI 48917-1128 | 2019-01-18 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| Find all providers with the same taxonomy | ||||
| City | DEARBORN HEIGHTS |
| Zip Code | 48125 |
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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.