Adrian Urgent Care PLLC
Organization Active NPI Family Medicine Physician · Adrian, MI
NPI 1003204769 · NPPES record last updated Oct 17, 2023
Key facts
- NPI
- 1003204769
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4301063833 (MI)
- Legal business name
- ADRIAN URGENT CARE PLLC
- Practice address
- 715 N Main St
Adrian, MI 49221-2151 - Phone
- (248) 957-7999
- Fax
- (248) 957-7997
- NPI assigned
- Jan 5, 2015
- Organization subpart
- No
Authorized official
- Name
- Farah Iftikhar, M.D.
- Title
- President
- Phone
- (248) 957-7999
Practitioners 24
-
Robert T Bowen, MD
-
Farah Iftikhar, MD
-
Ali M Khan, MD
-
Kathie Ann Pereira, MSN, FNP-BC
-
Shawn R Gerrity, PA-C
-
Katilyn Hess, PA
-
Brian J McKeon, PA
-
Connor S Mentzer, PA-C
-
Arshia Akram, MD
-
Laurie A Barkway, D.O.
-
Chong U Yi, MD
-
Lori A Jacobs, FNP-C
-
Ayaz Ahamed, P.A.
-
Christofer J Edwards, PA-C
-
Victoria A Latocki, PA-C
-
Daniel Liendo, PA
-
Jennifer McArdle, PA
-
William K Burckhard, PA-C
-
Sadie Ann Deckard, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150527002240 | MI | Part B Supplier - Clinic/Group Practice | 5193045425 |
Receives reassigned benefits from 24 practitioners Practice locations: Adrian, MI |
National Provider Directory
Locations
2692 Solutions Ctr Dr
Chicago, IL 60677
34405 W 12 Mile Rd
#205
Farmington Hills, MI 48331
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 4301063833 | MI | Yes |
| Internal Medicine Physician |
207R00000X | 4301063833 | MI | |
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
715 N Main St
Adrian, MI 49221-2151
Mailing address
2692 Solutions Center Dr
Chicago, IL 60677-0001
Phone (248) 957-7999
Other providers in Adrian, MI
- Adrian Mi SNF Management LLC
- Adrian Orthopedics PC
- Adrian Pharmacy LLC
- Adrian Psychotherapy Assoc PC
- Adrian Therapeutic Massage
- Adrian Urgent Care PLLC
- Advantage Physical Therapy & Wellness, PC
- Ayaz Ahamed
- Sasha Aide
- Aisleen Morr Professional Limited Liability Company
All providers in Adrian, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.