Organization Active NPI

MD Urgent Care & Family Practice PLLC

  • Family Medicine Physician
  • Warren, MI
National Provider Identifier
1043075260
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MD URGENT CARE & FAMILY PRACTICE PLLC
Practice address
12640 E 12 Mile Rd
Warren, MI 48093-3520
Phone
(586) 751-2020
Fax
(586) 745-4756
NPI assigned
Feb 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Hussein Awada, MD
Title
Owner
Phone
(586) 751-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

12640 E 12 Mile Rd
Warren, MI 48093-3520

Mailing address

12640 E 12 Mile Rd
Warren, MI 48093-3520
Phone (586) 751-2020

Other names 1

  • 24 Hour Urgent Care Centers Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1043075260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12640 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933520",
            "telephone_number": "586-751-2020",
            "fax_number": "586-745-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12640 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933520",
            "telephone_number": "586-751-2020",
            "fax_number": "586-745-4756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD URGENT CARE & FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "AWADA",
        "authorized_official_first_name": "HUSSEIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-751-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "24 Hour Urgent Care Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.