Dix Eureka Medical Center PC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

DIX EUREKA MEDICAL CENTER PC

Practice address

14797 Dix Toledo Rd
Southgate, MI 48195-2507

Phone

(734) 281-9950

Fax

(734) 281-4998

NPI assigned

Dec 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sitaram Kaura, MD

Title

Owner

Phone

(248) 320-0071

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Dix Eureka Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dix Eureka Medical Center

  • Urgent Care Clinic/Center
  • Southgate, MI
  • NPI 1689964264
  NPD tax ID

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1306029426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14797 DIX TOLEDO RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952507",
            "telephone_number": "734-281-9950",
            "fax_number": "734-281-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14797 DIX TOLEDO RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952507",
            "telephone_number": "734-281-9950",
            "fax_number": "734-281-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIX EUREKA MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "KAURA",
        "authorized_official_first_name": "SITARAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-320-0071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3365758",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Li Ding, LLMSW
• Emily Dionne
• Marley Rose Disanto
• Tiffany Ditzhazy
• Dix Eureka Medical Center
• Dix-Eureka Med Center PC
• Dana Domanski-McNulty, FNP-C
• Patricia Ann Donald, MA, LLPC
• Ciara Donaldson
• Desiree Donaldson

• Urgent Care Clinic/Center in Southgate, MI
• Providers in Southgate, MI by specialty
• Urgent Care Clinic/Center in Michigan

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