NPIMap

Organization Active NPI

Amd Urgent Medical Care, PLLC

  • Urgent Care Clinic/Center
  • Clio, MI
National Provider Identifier
1184968679
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
D55758 Issued in MI
Legal business name
AMD URGENT MEDICAL CARE, PLLC
Practice address
11307 N. Linden Rd Suite B
Clio, MI 48420
Phone
(810) 533-1468
NPI assigned
Nov 21, 2012
Last updated
Jun 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Authorized official

Name
Paul Massimino
Title
Operation Manager
Phone
(810) 564-7995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X D55758 MI Primary

Addresses

Primary practice location

11307 N. Linden Rd Suite B
Clio, MI 48420

Mailing address

11307 N Linden Rd
Suite B
Clio, MI 48420-8501
Phone (810) 564-7995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130221000266 MI Part B Supplier - Clinic/Group Practice 6608021738 Receives reassigned benefits from 25 practitioners
Practice locations: Clio, MI

National Provider Directory

National Provider Directory

Locations

11307 N Linden Rd
Ste B
Clio, MI 48420
Phone (810) 533-1468

Practitioners & affiliated clinicians

Practitioners 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1184968679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11307 N LINDEN RD",
            "address_2": "SUITE B",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484208501",
            "telephone_number": "810-564-7995",
            "fax_number": "810-564-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11307 N. LINDEN RD SUITE B",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "48420",
            "telephone_number": "810-533-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMD URGENT MEDICAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-21",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "MASSIMINO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OPERATION MANAGER",
        "authorized_official_telephone_number": "810-564-7995"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MI",
            "license": "D55758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clio, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.