Organization Active NPI

Uop Urgent Care PLLC

  • Pediatrics Physician
  • Dearborn Heights, MI
National Provider Identifier
1063872075
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301055667 Issued in MI
Legal business name
UOP URGENT CARE PLLC
Practice address
23822 Ford Rd
Dearborn Heights, MI 48127-3245
Phone
(313) 277-4330
Fax
(313) 277-4338
NPI assigned
Mar 3, 2016
Last updated
Mar 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Authorized official

Name
Nazem Alhusein, MD
Title
Co-Owner/Med Director
Phone
(313) 277-4330

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X 4301055000 MI
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 4301052856 MI
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 4301055667 MI Primary

Addresses

Primary practice location

23822 Ford Rd
Dearborn Heights, MI 48127-3245

Mailing address

23822 Ford Rd
Dearborn Heights, MI 48127-3245
Phone (313) 277-4330

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1063872075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23822 FORD RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273245",
            "telephone_number": "313-277-4330",
            "fax_number": "313-277-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23822 FORD RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273245",
            "telephone_number": "313-277-4330",
            "fax_number": "313-277-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UOP URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "ALHUSEIN",
        "authorized_official_first_name": "NAZEM",
        "authorized_official_title_or_position": "CO-OWNER/MED DIRECTOR",
        "authorized_official_telephone_number": "313-277-4330",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301055000",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301052856",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301055667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.