Cedar Medical Services PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301082473 Issued in MI

Legal business name

CEDAR MEDICAL SERVICES PC

Doing business as

CAMPBELL URGENT CARE

Practice address

1010 N Campbell Rd
Suite 3
Royal Oak, MI 48067-1570

Phone

(248) 850-8395

Fax

(248) 850-8495

NPI assigned

May 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Wissam M Shaya, M.D.

Title

Owner

Phone

(248) 850-8395

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• CAMPBELL URGENT CARE Doing business as

Locations

Practitioners 1

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

• Amy Lynn Murdock, MS, PA-C

  • Physician Assistant
  • Warren, MI
  • NPI 1720643331
  NPD

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281312000000",
    "number": "1285891036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N CAMPBELL RD",
            "address_2": "SUITE 3",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671570",
            "telephone_number": "248-850-8395",
            "fax_number": "248-850-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N CAMPBELL RD",
            "address_2": "SUITE 3",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671570",
            "telephone_number": "248-850-8395",
            "fax_number": "248-850-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2010-08-09",
        "status": "A",
        "authorized_official_last_name": "SHAYA",
        "authorized_official_first_name": "WISSAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-850-8395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301082473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DQ3269",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "080E029470",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN GROUP",
            "identifier": "080E029470",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "080F387630",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN GROUP",
            "identifier": "080F387630",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285891036",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAMPBELL URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James A Catto, MD
• Susan A. Catto, M.D.
• Carol Cavalcante de Vasconcelos Lima, MD
• Lauren Elise Cavallaro, RN, MSN, FNP-BC
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• Family Medicine Physician in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; 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.