NPIMap

Organization Active NPI

Wellstreet Urgent Care of Michigan

  • Non-Pharmacy Dispensing Site
  • Chesterfield, MI
National Provider Identifier
1194407718
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
WELLSTREET URGENT CARE OF MICHIGAN
Practice address
50964 Gratiot Ave
Chesterfield, MI 48051-3134
Phone
(586) 265-2262
NPI assigned
Aug 3, 2023
Last updated
Aug 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Authorized official

Name
Lee A ResnickNPI 1477659134
Title
Cgo
Phone
(216) 383-3480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X NU Primary

Addresses

Primary practice location

50964 Gratiot Ave
Chesterfield, MI 48051-3134

Mailing address

1825 Highway 34 E Ste 1200
Newnan, GA 30265-6416

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amansour@wellstreet.com

National Provider Directory

National Provider Directory
Tax ID family
Wellstreet Urgent Care of Michigan26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

Locations

50964 Gratiot Ave
Chesterfield, MI 48051
Phone (586) 265-2262

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1194407718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 HIGHWAY 34 E STE 1200",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302656416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50964 GRATIOT AVE",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480513134",
            "telephone_number": "586-265-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSTREET URGENT CARE OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "RESNICK",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CGO",
        "authorized_official_telephone_number": "216-383-3480"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amansour@wellstreet.com",
            "affiliation": "N",
            "address_1": "50964 Gratiot Ave",
            "city": "Chesterfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480513134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.