Active NPI
Epg Urgent Care PLLC
- Internal Medicine Physician
- Royal Oak, MI
National Provider Identifier
1104045384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- EPG URGENT CARE PLLC
- Practice address
- 26454 Woodward Ave
Suite 150
Royal Oak, MI 48067-0969 - Phone
- (248) 545-7210
- Fax
- (248) 545-1023
- NPI assigned
- Apr 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Greg Naman, M.D.
- Title
- Chief Medical Director
- Phone
- (248) 544-6236
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MI | ||
| Internal Medicine Physician | 207R00000X | MI | Primary | |
| Pediatrics Physician | 208000000X | MI |
Addresses
Primary practice location
26454 Woodward Ave
Suite 150
Royal Oak, MI 48067-0969
Mailing address
911 E 9 Mile Rd
Ferndale, MI 48220-1934
Phone (248) 545-7210
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024655 | Other | MIDWEST FACILITY # | |
| 110405384 | Medicaid | MI | |
| 00002662456 | Other | MI | UNITED HEALTH CARE FACILITY # |
| 110F346760 | Other | MI | BCBS GROUP |
National Provider Directory
National Provider DirectoryLocations
26454 Woodward Ave
Ste 150
Royal Oak, MI 48067
Phone (248) 545-7210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297987200000",
"number": "1104045384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 E 9 MILE RD",
"city": "FERNDALE",
"state": "MI",
"postal_code": "482201934",
"telephone_number": "248-545-7210",
"fax_number": "248-545-3058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26454 WOODWARD AVE",
"address_2": "SUITE 150",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480670969",
"telephone_number": "248-545-7210",
"fax_number": "248-545-1023"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EPG URGENT CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-25",
"last_updated": "2011-02-18",
"status": "A",
"authorized_official_last_name": "NAMAN",
"authorized_official_first_name": "GREG",
"authorized_official_title_or_position": "CHIEF MEDICAL DIRECTOR",
"authorized_official_telephone_number": "248-544-6236",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": null,
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "MI",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDWEST FACILITY #",
"identifier": "024655",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110405384",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE FACILITY #",
"identifier": "00002662456",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "110F346760",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.