Lincoln Park Urgent Care P.C.

Organization Active NPI Emergency Medicine Physician · Allen Park, MI

NPI 1053516617 · NPPES record last updated Jun 26, 2025

Key facts

NPI
1053516617
Entity type
Organization (NPI type 2)
Primary specialty
Emergency Medicine Physician 207P00000X
License
5101012667 (MI)
Legal business name
LINCOLN PARK URGENT CARE P.C.
Practice address
15101 Southfield Rd Ste 101
Allen Park, MI 48101-2664
Phone
(313) 383-3333
Fax
(313) 383-5555
NPI assigned
Jun 15, 2007
Organization subpart
No

Authorized official

Name
Dr. Mulham Shikh Hamdon, M.D. NPI 1720511694
Title
President
Phone
(313) 383-3333

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040806000242 MI Part B Supplier - Clinic/Group Practice 5890767313 Receives reassigned benefits from 3 practitioners
Practice locations: Allen Park, MI

National Provider Directory

Tax ID family
Lincoln Park Urgent Care (2 organizations share this tax ID)

Locations

1907 Southfield Rd
Lincoln Park, MI 48146
Phone (313) 383-3333

1907 Southfield Rd
Lincoln Park, MI 48146
Phone (313) 383-3333

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207P00000X 5101012667 MI Yes

Addresses

Primary practice location

15101 Southfield Rd Ste 101
Allen Park, MI 48101-2664

Mailing address

15101 Southfield Rd
Suite 101
Allen Park, MI 48101-2697
Phone (313) 383-3333

Other names

  • Park Urgent Care Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 26, 2025.

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1053516617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15101 SOUTHFIELD RD",
            "address_2": "SUITE 101",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012697",
            "telephone_number": "313-383-3333",
            "fax_number": "313-383-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15101 SOUTHFIELD RD STE 101",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012664",
            "telephone_number": "313-383-3333",
            "fax_number": "313-383-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN PARK URGENT CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "SHIKH HAMDON",
        "authorized_official_first_name": "MULHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-383-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101012667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allen Park, MI

All providers in Allen Park, MI · Emergency Medicine Physician in Michigan

Sources for this page

Verify at the official NPI Registry.