NPIMap

Organization Active NPI

Wayne Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Wayne, MI
National Provider Identifier
1194133769
Registry record updated Jan 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
WAYNE URGENT CARE PLLC
Practice address
34815 W Michigan Ave
Suite1
Wayne, MI 48184-1799
Phone
(734) 389-7103
NPI assigned
Jul 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2016

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

Authorized official

Name
M Nabeel Shahid
Title
Manager
Phone
(734) 389-7103

Specialties & licenses 1

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

Addresses

Primary practice location

34815 W Michigan Ave
Suite1
Wayne, MI 48184-1799

Mailing address

34815 W Michigan Ave
Suite 1
Wayne, MI 48184-1799
Phone (734) 389-7103

Other identifiers 1

IdentifierTypeStateIssuer
122343334OtherUNKNOWN

National Provider Directory

National Provider Directory
Tax ID family
Wayne Urgent Care PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452297600000",
    "number": "1194133769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34815 W MICHIGAN AVE",
            "address_2": "SUITE 1",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841799",
            "telephone_number": "734-389-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34815 W MICHIGAN AVE",
            "address_2": "SUITE1",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841799",
            "telephone_number": "734-389-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-28",
        "last_updated": "2016-01-09",
        "status": "A",
        "authorized_official_last_name": "SHAHID",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "NABEEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "734-389-7103"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNKNOWN",
            "identifier": "122343334",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.