NPIMap

Organization Active NPI

Elite Healthcare PLC

  • Urgent Care Clinic/Center
  • Lake Orion, MI
National Provider Identifier
1215055082
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ELITE HEALTHCARE PLC
Practice address
1455 S Lapeer Rd
Ste # 102
Lake Orion, MI 48360
Phone
(248) 232-0100
Fax
(248) 232-0101
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Authorized official

Name
Khaled M Shukairy, M.D.NPI 1518961879
Title
MBR
Phone
(248) 232-0100

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
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1455 S Lapeer Rd
Ste # 102
Lake Orion, MI 48360

Mailing address

1501 S Center Rd
Ste # 3
Burton, MI 48509
Phone (810) 780-4181

Other practice location 1

1192 W Bristol Rd
Flint, MI 48507-5518
Phone (810) 535-5530

Other names 1

  • Orion Oxford Urgent Care Doing business as

National Provider Directory

National Provider Directory

Locations

1501 S Center Rd
Ste 3
Burton, MI 48509

1192 W Bristol Rd
Flint, MI 48507
Phone (810) 535-5530

1455 S Lapeer Rd
Ste 102
Lake Orion, MI 48360
Phone (248) 232-0100

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1215055082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 S CENTER RD",
            "address_2": "STE # 3",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "48509",
            "telephone_number": "810-780-4181",
            "fax_number": "810-519-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 S LAPEER RD",
            "address_2": "STE # 102",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "48360",
            "telephone_number": "248-232-0100",
            "fax_number": "248-232-0101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1192 W Bristol Rd",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485075518",
            "country_code": "US",
            "telephone_number": "810-535-5530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE HEALTHCARE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "SHUKAIRY",
        "authorized_official_first_name": "KHALED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "248-232-0100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orion Oxford Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Orion, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.