Organization Active NPI

Lincoln Park Urgent Care P.C.

Doing business as Park Urgent Care

  • Emergency Medicine Physician
  • Allen Park, MI
National Provider Identifier
1053516617
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101012667 Issued in MI
Legal business name
LINCOLN PARK URGENT CARE P.C.
Doing business as
Park Urgent Care
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
Last updated
Jun 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Authorized official

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

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X 5101012667 MI Primary

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 1

  • Park Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

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

National Provider Directory
Tax ID family
Lincoln Park Urgent Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

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

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

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

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.