Great Lakes Urgent Care PC of Eastside

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

GREAT LAKES URGENT CARE PC OF EASTSIDE

Practice address

19070 E 10 Mile Rd
Eastpointe, MI 48021-1449

Phone

(586) 773-1383

Fax

(586) 773-1385

NPI assigned

Feb 26, 2014

Organization subpart

No

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

Authorized official

Name

Fuad M Rahimee

Title

Medical Director

Phone

(586) 773-1383

Specialties & licenses 1

Addresses

Other names 1

• GLUCE Doing business as

Tax ID family

Gluce2 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.

• Great Lakes Urgent Care PC of Eastside

  • Internal Medicine Physician
  • Eastpointe, MI
  • NPI 1477978930
  NPD tax ID

Practitioners 1

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

• Mohamad S Rahbar, M.D.

  • Internal Medicine Physician
  • Roseville, MI
  • NPI 1679567762
  NPD

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1144645284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19070 E 10 MILE RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480211449",
            "telephone_number": "586-773-1383",
            "fax_number": "586-773-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19070 E 10 MILE RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480211449",
            "telephone_number": "586-773-1383",
            "fax_number": "586-773-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES URGENT CARE PC OF EASTSIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "RAHIMEE",
        "authorized_official_first_name": "FUAD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "586-773-1383"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLUCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Syed M Ghani, DPM
• Global Imaging LLC
• Jaleesa Golden
• Shavonne Gould
• Great Lakes Medical Group PC
• Great Lakes Urgent Care PC of Eastside
• Greathouse Home Care Inc
• Gwendolyn Greathouse
• Jasmin Marie Green, CNA
• Travena Taylor Green, LLPC

• Urgent Care Clinic/Center in Eastpointe, MI
• Providers in Eastpointe, MI by specialty
• Urgent Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.