Organization Active NPI

Express Docs Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Romulus, MI
National Provider Identifier
1326543240
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
EXPRESS DOCS URGENT CARE PLLC
Practice address
13739 S Huron River Dr
Romulus, MI 48174
Phone
(734) 941-0895
NPI assigned
Mar 25, 2018
Last updated
Jul 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

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

Authorized official

Name
John-Mina Ibrahim, M.D.NPI 1740484369
Title
Partner
Phone
(248) 703-5659

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

13739 S Huron River Dr
Romulus, MI 48174

Mailing address

2931 Pheasant Ring Dr
Rochester Hills, MI 48309-2858
Phone (248) 703-5659

National Provider Directory

National Provider Directory

Locations

13739 S Huron River Dr
Romulus, MI 48174
Phone (734) 506-0652

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1521936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531440000000",
    "number": "1326543240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2931 PHEASANT RING DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483092858",
            "telephone_number": "248-703-5659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13739 S HURON RIVER DR",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "48174",
            "telephone_number": "734-941-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS DOCS URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-25",
        "last_updated": "2018-07-13",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "JOHN-MINA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "248-703-5659",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romulus, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.