Vassar Express Clinic PLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

WH089039 Issued in MI

Legal business name

VASSAR EXPRESS CLINIC PLC

Practice address

193 W Huron
Vassar, MI 48768

Phone

(989) 823-3466

Fax

(989) 823-3666

NPI assigned

Dec 10, 2007

Last updated

Dec 10, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Naveed Mahfooz, MDNPI 1780639450

Title

Owner

Phone

(989) 823-3466

Specialties & licenses 5

Addresses

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.

• Naveed Mahfooz, MD

  • Internal Medicine Physician
  • Caro, MI
  • NPI 1780639450

  Family Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1215110614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3061 CHRISTY WAY",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032267",
            "telephone_number": "989-791-2455",
            "fax_number": "989-791-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 W HURON",
            "city": "VASSAR",
            "state": "MI",
            "postal_code": "48768",
            "telephone_number": "989-823-3466",
            "fax_number": "989-823-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASSAR EXPRESS CLINIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "MAHFOOZ",
        "authorized_official_first_name": "NAVEED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-823-3466",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "BS083758",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "HK084207",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "NM059644",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "WH089039",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "AM078432",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Marie Springsteen
• Lee Ellen Starr
• Eric Ryan Gray Trato, D.C.
• James Raymond Tumidanski
• Vassar Comfort Care LLC
• Vassar Pharmacy LLC
• Walgreen Co (Walgreens #21233)
• Denise Kay Williams
• Jessica Williams
• Wolverine Human Services

• Internal Medicine Physician in Vassar, MI
• Providers in Vassar, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.