Urgent Care Clinic PLLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

URGENT CARE CLINIC PLLC

Practice address

57 Street Rd Unit 4
Southampton, PA 18966-3100

Phone

(267) 570-9988

NPI assigned

Sep 12, 2023

Last updated

Oct 26, 2023By 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

Omid Rowshan, MDNPI 1285680371

Title

President

Phone

(267) 570-9988

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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.

• Omid Rowshan, MD

  • Emergency Medicine Physician
  • Camden, NJ
  • NPI 1285680371

  PA

  Medicare reassignment Care Compare group NPD Authorized official
• Eleya Schramm, CRNP

  • Family Nurse Practitioner
  • Southampton, PA
  • NPI 1255045829
  Medicare reassignment Care Compare group NPD
• Debra Ann Cortez, PA-C

  • Physician Assistant
  • Philadelphia, PA
  • NPI 1891817755
  Medicare reassignment Care Compare group
• Kathryn Janick, PA C

  • Physician Assistant
  • Philadelphia, PA
  • NPI 1700818937
  Medicare reassignment Care Compare group
• Lauren Melo Bangor, D.O.

  • Emergency Medicine Physician
  • Philadelphia, PA
  • NPI 1164659009
  Medicare reassignment NPD

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1285411264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 STREET RD UNIT 4",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663100",
            "telephone_number": "267-570-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 STREET RD UNIT 4",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663100",
            "telephone_number": "267-570-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "ROWSHAN",
        "authorized_official_first_name": "OMID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-570-9988",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trinity Health Mid-Atlantic Medical Group (Southampton St. Mary Family Practice)
• Alli Trotto
• David J. Trumbore, MD
• Alina Tsirelson, LPC
• Roshell Tverskaya
• Jeffrey Vaisberg, DPT
• Vantage Eyecare, LLC
• Vantage Eyecare, LLC
• Vital Therapy, LLC
• Vivian Descant, O.D., P.C.

• Urgent Care Clinic/Center in Southampton, PA
• Providers in Southampton, PA by specialty
• Urgent Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.