Pine Knob Urgent Care PLLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PINE KNOB URGENT CARE PLLC

Practice address

6310 Sashabaw Rd
Suite C
Clarkston, MI 48346-2270

Phone

(810) 262-9020

Fax

(810) 715-5005

NPI assigned

Nov 23, 2015

Last updated

Jul 5, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott Bonzheim, PA-CNPI 1255386900

Title

Partner

Phone

(810) 262-9020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott C Bonzheim, PA

  • Medical Physician Assistant
  • Clio, MI
  • NPI 1255386900
  Medicare reassignment Care Compare group Authorized official
• Brooke Morgan Adema

  • Physician Assistant
  • Detroit, MI
  • NPI 1205652195
  Medicare reassignment Care Compare group
• Neelima Goyal

  • Physician Assistant
  • West Bloomfield, MI
  • NPI 1619758612
  Medicare reassignment Care Compare group
• Sara Houstina, PA

  • Physician Assistant
  • Detroit, MI
  • NPI 1073339636
  Medicare reassignment Care Compare group
• Alyse M Morck, PA-C

  • Physician Assistant
  • Clarkston, MI
  • NPI 1679350318
  Medicare reassignment Care Compare group
• Samantha Steger Smith, PA-C

  • Physician Assistant
  • Farmington Hills, MI
  • NPI 1003579103
  Medicare reassignment Care Compare group
• Joshua I Newblatt, D.O.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Flint, MI
  • NPI 1215948773
  Medicare reassignment NPD
• Jennifer D Washington, FNP

  • Nurse Practitioner
  • Hazel Park, MI
  • NPI 1336755222
  Medicare reassignment NPD
• Kendall Bell, PA-C

  • Physician Assistant
  • Oxford, MI
  • NPI 1770115511
  Medicare reassignment
• Franz M. Jaggi, D.O.

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1548358666
  Medicare reassignment
• Ashley Legg, PA-C

  • Physician Assistant
  • Clarkston, MI
  • NPI 1871281832
  Medicare reassignment
• Michael William Tuffo, PA-C

  • Physician Assistant
  • Troy, MI
  • NPI 1831387299
  Medicare reassignment

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467676800000",
    "number": "1144694571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 SASHABAW RD",
            "address_2": "SUITE C",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 SASHABAW RD",
            "address_2": "SUITE C",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462270",
            "telephone_number": "810-262-9020",
            "fax_number": "810-715-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE KNOB URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-23",
        "last_updated": "2016-07-05",
        "status": "A",
        "authorized_official_last_name": "BONZHEIM",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "810-262-9020",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pine Knob Pharmacy #3, Inc. (Sav-Mor #38 Pine Knob #3)
• Pine Knob Pharmacy #4
• Pine Knob Pharmacy 1 Inc (Sav-Mor 51 Pine Knob Pharmacy 1)
• Pine Knob Pharmacy 2 Inc (Pine Knob Sav Mor Pharmacy 2)
• Pine Knob Pharmacy 4 Inc (Pine Knob Savmor Pharmacy 4)
• Amanda Piotrowski, PT, DPT
• Julia Plesz
• Marc Adam Plizga, ATC
• Sierra Lynn Plonkey
• Thomas J Plunkett Jr., CRNA

• Urgent Care Clinic/Center in Clarkston, MI
• Providers in Clarkston, 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 Jul 5, 2016; 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.