Trust Care Clinic PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301079461 Issued in MI

Legal business name

TRUST CARE CLINIC PLLC

Practice address

611 Court St Lowr Level
Suite B
West Branch, MI 48661-9390

Phone

(989) 345-2068

NPI assigned

Jan 12, 2007

Last updated

Jul 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hatem M Ataya, MD

Title

Medical Director

Phone

(989) 345-2068

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Osman M-E Mukhtar, M.D

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1063597904
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1053461848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 COURT ST LOWR LEVEL",
            "address_2": "PO BOX 903",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619390",
            "telephone_number": "989-345-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 COURT ST LOWR LEVEL",
            "address_2": "SUITE B",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619390",
            "telephone_number": "989-345-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUST CARE CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "ATAYA",
        "authorized_official_first_name": "HATEM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "989-345-2068",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301079461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881664829",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Lea Toonstra, MA, CCC-SLP
• Total Renal Care Inc (West Branch Dialysis)
• Mellisa Rae Trout
• Nicole Trout
• Truenorth CCM, Inc.
• Ashley Marie Turner
• Martin Uzochukwu Ugwu
• Ultra S Imaging LC (U/S Imaging)
• Unity Home Health Care L.L.C.
• Cole William Vancura, BA

• Internal Medicine Physician in West Branch, MI
• Providers in West Branch, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.