NPIMap

Organization Active NPI

Ann Arbor Urgent Care, P.C

  • Urgent Care Clinic/Center
  • Ann Arbor, MI
National Provider Identifier
1265507669
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ANN ARBOR URGENT CARE, P.C
Practice address
1000 East Stadium Blvd
Ann Arbor, MI 48104-4616
Phone
(734) 789-3333
Fax
(734) 789-6666
NPI assigned
Nov 21, 2006
Last updated
Feb 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Authorized official

Name
Mr. Alaa Jusseinall, M.D.
Title
Owner
Phone
(734) 769-3333

Specialties & licenses 1

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

Addresses

Primary practice location

1000 East Stadium Blvd
Ann Arbor, MI 48104-4616

Mailing address

1000 East Stadium Blvd
Ann Arbor, MI 48104-4616
Phone (734) 769-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070108000203 MI Part B Supplier - Clinic/Group Practice 6103826615 Receives reassigned benefits from 6 practitioners
Practice locations: Ann Arbor, MI

National Provider Directory

National Provider Directory

Locations

1000 E Stadium Blvd
Ste 1
Ann Arbor, MI 48104

1000 E Stadium Blvd
Ste 100
Ann Arbor, MI 48104
Phone (734) 769-3333

Practitioners & affiliated clinicians

Practitioners 11

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": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1265507669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 EAST STADIUM BLVD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044616",
            "telephone_number": "734-769-3333",
            "fax_number": "734-769-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EAST STADIUM BLVD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044616",
            "telephone_number": "734-789-3333",
            "fax_number": "734-789-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN ARBOR URGENT CARE, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "JUSSEINALL",
        "authorized_official_first_name": "ALAA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-769-3333",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.