Organization Active NPI

Northeast Macomb Urgent Care PLLC

  • Family Medicine Physician
  • Clinton TWP, MI
National Provider Identifier
1144464058
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NORTHEAST MACOMB URGENT CARE PLLC
Practice address
43900 Garfield Rd
Ste 121
Clinton TWP, MI 48038-1128
Phone
(734) 402-2000
Fax
(734) 402-2400
NPI assigned
Apr 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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

Authorized official

Name
Mrs. Farah S Iftikhar, MD
Title
President
Phone
(734) 402-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

43900 Garfield Rd
Ste 121
Clinton TWP, MI 48038-1128

Mailing address

20000 Victor Pkwy
Ste 115
Livonia, MI 48152-7029
Phone (734) 402-2000

National Provider Directory

National Provider Directory

Locations

20000 Victor Pkwy
Ste 115
Livonia, MI 48152

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1144464058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20000 VICTOR PKWY",
            "address_2": "STE 115",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481527029",
            "telephone_number": "734-402-2000",
            "fax_number": "734-402-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43900 GARFIELD RD",
            "address_2": "STE 121",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381128",
            "telephone_number": "734-402-2000",
            "fax_number": "734-402-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST MACOMB URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "IFTIKHAR",
        "authorized_official_first_name": "FARAH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-402-2000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.