Organization Active NPI

Ann Arbor Urgent Care, P.C

  • General Practice Physician
  • Ann Arbor, MI
National Provider Identifier
1336476928
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ANN ARBOR URGENT CARE, P.C
Practice address
1000 E Stadium Blvd
Ann Arbor, MI 48104-4616
Phone
(734) 769-3333
Fax
(734) 769-6666
NPI assigned
Nov 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Authorized official

Name
Mrs. Rae Anne Joerin
Title
Biller
Phone
(313) 633-9027

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1000 E Stadium Blvd
Ann Arbor, MI 48104-4616

Mailing address

1000 E Stadium Blvd
Ann Arbor, MI 48104-4616
Phone (734) 769-3333

Other identifiers 1

IdentifierTypeStateIssuer
0H11852OtherMIBLUE CROSS BLUE SHIELD OF MICHIGAN

National Provider Directory

National Provider Directory
Tax ID family
Ann Arbor Urgent Care2 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.

NPI Registry JSON

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1336476928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E STADIUM BLVD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044616",
            "telephone_number": "734-769-3333",
            "fax_number": "734-769-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E STADIUM BLVD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044616",
            "telephone_number": "734-769-3333",
            "fax_number": "734-769-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN ARBOR URGENT CARE, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-03",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "JOERIN",
        "authorized_official_first_name": "RAE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "313-633-9027",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "0H11852",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.