Summit Urgent Care PC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

SUMMIT URGENT CARE PC

Practice address

21844 23 Mile Rd
Macomb, MI 48042-4422

Phone

(586) 598-8115

Fax

(586) 591-5929

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mfed Mosely, MDNPI 1215403597

Title

Owner

Phone

(586) 598-8115

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 2

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.

• Mfed Mosely, MD

  • Pediatrics Physician
  • Macomb TWNP, MI
  • NPI 1215403597
  Authorized official Same address or phone
• Tahir Hasan, MD

  • Family Medicine Physician
  • Macomb, MI
  • NPI 1003987694
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1205907870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21844 23 MILE ROAD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "48042",
            "telephone_number": "586-598-8115",
            "fax_number": "586-591-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21844 23 MILE RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480424422",
            "telephone_number": "586-598-8115",
            "fax_number": "586-591-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT URGENT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "MOSELY",
        "authorized_official_first_name": "MFED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-598-8115",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLI PLAN",
            "identifier": "061918",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "700E017910",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN",
            "identifier": "061918",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS-OWCP",
            "identifier": "610926900",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215403597",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vita Angela Stramaglia, PA-C
• Michael William Sullivan, D.O.
• Summit Health Pointe
• Summit Health Pointe LLC
• Summit Urgent Care Inc
• Sunny Skies Home Help LLC
• Sunny Smiles Therapies LLC
• Jenna Swinkowski, LLMSW
• Ace James Tacderas, NP
• Nickolas Teller

• Emergency Medicine Physician in Macomb, MI
• Providers in Macomb, MI by specialty
• Emergency Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.