Organization Active NPI

ER Doc Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Lincoln Park, MI
National Provider Identifier
1083461370
Registry record updated Sep 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ER DOC URGENT CARE PLLC
Practice address
3677 Fort St
Lincoln Park, MI 48146-4116
Phone
(313) 887-7770
Fax
(313) 254-2861
NPI assigned
May 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2025

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

Authorized official

Name
Wasfeh A Musheinish, MD
Title
Owner
Phone
(313) 515-6507

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

3677 Fort St
Lincoln Park, MI 48146-4116

Mailing address

3677 Fort St
Lincoln Park, MI 48146-4116
Phone (313) 887-7770

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240812000375 MI Part B Supplier - Clinic/Group Practice 7315485281 Receives reassigned benefits from 2 practitioners
Practice locations: Lincoln Park, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2303355ER Doc Urgent Care3677 Fort Street, Lincoln Park, MI 48146Certificate of waiverApr 23, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757203200000",
    "number": "1083461370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3677 FORT ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481464116",
            "telephone_number": "313-887-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3677 FORT ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481464116",
            "telephone_number": "313-887-7770",
            "fax_number": "313-254-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ER DOC URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-03",
        "last_updated": "2025-09-07",
        "certification_date": "2025-09-07",
        "status": "A",
        "authorized_official_last_name": "MUSHEINISH",
        "authorized_official_first_name": "WASFEH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-515-6507",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.