Organization Active NPI

Rochester Urgent Care, P.C.

  • Internal Medicine Physician
  • Rochester Hills, MI
National Provider Identifier
1316018971
Registry record updated Jul 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ROCHESTER URGENT CARE, P.C.
Practice address
215 E Auburn Rd
Rochester Hills, MI 48307-5260
Phone
(248) 853-2009
Fax
(248) 853-4105
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2009

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

Authorized official

Name
Mrs. Tabatha Leanne Stage
Title
Billing Manager
Phone
(248) 853-2009

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X MI Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

215 E Auburn Rd
Rochester Hills, MI 48307-5260

Mailing address

215 E Auburn Rd
Rochester Hills, MI 48307-5260
Phone (248) 853-2009

Other identifiers 5

IdentifierTypeStateIssuer
1235377052OtherMIBLUE CARE NETWORK OF MI
OM27740OtherMIHAP
700F313160OtherMIBCBS NUMBER
1316018971MedicaidMI
1316018971OtherMICOMMERCIAL

National Provider Directory

National Provider Directory

Locations

2952 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 853-2009

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248134400000",
    "number": "1316018971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E AUBURN RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075260",
            "telephone_number": "248-853-2009",
            "fax_number": "248-853-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E AUBURN RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075260",
            "telephone_number": "248-853-2009",
            "fax_number": "248-853-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHESTER URGENT CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2009-07-21",
        "status": "A",
        "authorized_official_last_name": "STAGE",
        "authorized_official_first_name": "TABATHA",
        "authorized_official_middle_name": "LEANNE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "248-853-2009",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK OF MI",
            "identifier": "1235377052",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "OM27740",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "700F313160",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316018971",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "1316018971",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; 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.