Meadowbrook Urgent Care PC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MEADOWBROOK URGENT CARE PC

Practice address

33722 Woodward Ave
Birmingham, MI 48009-0912

Phone

(248) 919-4900

Fax

(248) 919-4901

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Rona Lita Wadle, DO

Title

President/Medical Director

Phone

(248) 476-8500

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 5

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

• Michel Alkhalil, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Troy, MI
  • NPI 1518062942
  NPD (past)
• Amy Embree, D.O.

  • Emergency Medicine Physician
  • Hartland, MI
  • NPI 1912008368
  NPD (past)
• Horst H Griesser, MD

  • Emergency Medicine Physician
  • Detroit, MI
  • NPI 1336158849
  NPD (past)
• Charles R Vander Roest, DO

  • Emergency Medical Services (Emergency Medicine) Physician
  • Farmington Hills, MI
  • NPI 1831139740
  NPD (past)
• Nisha Chellam Vedamuthu, M.D.

  • Internal Medicine Physician
  • West Hollywood, CA
  • NPI 1689685927
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1184843898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33722 WOODWARD AVE",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480090912",
            "telephone_number": "248-919-4900",
            "fax_number": "248-919-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33722 WOODWARD AVE",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480090912",
            "telephone_number": "248-919-4900",
            "fax_number": "248-919-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWBROOK URGENT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "WADLE",
        "authorized_official_first_name": "RONA",
        "authorized_official_middle_name": "LITA",
        "authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "248-476-8500",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMI",
            "identifier": "700F337470",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME PROVIDER NUMBER",
            "identifier": "5970460001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine McDonald, PA-C
• Kristy Kay McGuffin, PTA
• Alexandra Paige McKenna, LLMSW
• Leslie L. McNamara, PH.D.
• Meadowbrook Urgent Care
• Meadowbrook Urgent Care PC
• Medware L L C
• William Scott Meldrum, DDS
• Miranda Menne
• Meraki Psychological Services PLLC

• Urgent Care Clinic/Center in Birmingham, MI
• Providers in Birmingham, 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 Dec 1, 2016; 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.