Active NPI
Grosse Pointe Urgent Care PC
- Internal Medicine Physician
- Grosse Pointe Woods, MI
National Provider Identifier
1306179627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301065784
- Legal business name
- GROSSE POINTE URGENT CARE PC
- Practice address
- 20311 Mack Ave
Grosse Pointe Woods, MI 48236-1784 - Phone
- (313) 499-6000
- Fax
- (313) 499-6001
- NPI assigned
- Sep 18, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mohammed A Arsiwala, MD
- Title
- Owner Medical Director Physician
- Phone
- (313) 499-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301065784 | MI | Primary |
Addresses
Primary practice location
20311 Mack Ave
Grosse Pointe Woods, MI 48236-1784
Mailing address
20311 Mack Ave
Grosse Pointe Woods, MI 48236-1784
Phone (313) 499-6000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DQ2395 | Other | MI | RAILROAD MEDICARE |
| 700H256650 | Other | MI | BCBS GROUP |
| 1306179627 | Medicaid | MI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Royal Oak, MI
- NPI 1063768984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1353456000000",
"number": "1306179627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20311 MACK AVE",
"city": "GROSSE POINTE WOODS",
"state": "MI",
"postal_code": "482361784",
"telephone_number": "313-499-6000",
"fax_number": "313-499-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20311 MACK AVE",
"city": "GROSSE POINTE WOODS",
"state": "MI",
"postal_code": "482361784",
"telephone_number": "313-499-6000",
"fax_number": "313-499-6001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GROSSE POINTE URGENT CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-18",
"last_updated": "2012-11-21",
"status": "A",
"authorized_official_last_name": "ARSIWALA",
"authorized_official_first_name": "MOHAMMED",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER MEDICAL DIRECTOR PHYSICIAN",
"authorized_official_telephone_number": "313-499-6000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301065784",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DQ2395",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "700H256650",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1306179627",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grosse Pointe Woods, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.