NPIMap

Organization Active NPI

Washtenaw Urgent Care

  • Internal Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1174874531
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301065784 Issued in MI
Legal business name
WASHTENAW URGENT CARE
Practice address
3280 Washtenaw Ave
Ann Arbor, MI 48104-4250
Phone
(734) 389-2000
Fax
(734) 389-2005
NPI assigned
Sep 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mohammed A Arsiwala, MD
Title
Owner/President
Phone
(734) 338-8300

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 4301047767 MI
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 4301065784 MI Primary
Urgent Care Clinic/Center 261QU0200X MI

Addresses

Primary practice location

3280 Washtenaw Ave
Ann Arbor, MI 48104-4250

Mailing address

17197 N Laurel Park Dr Ste 107
Livonia, MI 48152-7910
Phone (734) 338-8300

Other identifiers 1

IdentifierTypeStateIssuer
1477806875MedicaidMI

National Provider Directory

National Provider Directory

Locations

17197 N Laurel Park Dr
Ste 107
Livonia, MI 48152
Phone (734) 338-8300

Practitioners & affiliated clinicians

Practitioners 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174874531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17197 N LAUREL PARK DR STE 107",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481527910",
            "telephone_number": "734-338-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 WASHTENAW AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044250",
            "telephone_number": "734-389-2000",
            "fax_number": "734-389-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHTENAW URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ARSIWALA",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "734-338-8300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301047767",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301065784",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477806875",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.