Medworks Urgent Care PLLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MEDWORKS URGENT CARE PLLC

Practice address

19100 Goddard Rd
Allen Park, MI 48101-1156

Phone

(313) 763-0309

Fax

(313) 771-9947

NPI assigned

Feb 7, 2023

Last updated

Dec 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ahmed Mirza, NPNPI 1407320559

Title

Nurse Practitioner

Phone

(313) 763-0309

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 10

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.

• Ahmed Ihsan Mirza, FNP-C

  • Family Nurse Practitioner
  • Allen Park, MI
  • NPI 1407320559
  Medicare reassignment Care Compare group NPD Authorized official
• Joseph R Mazur, FNP-C

  • Family Nurse Practitioner
  • Allen Park, MI
  • NPI 1194592394
  Medicare reassignment Care Compare group NPD
• Hana H Al-Jubury

  • Physician Assistant
  • Detroit, MI
  • NPI 1083417950
  Medicare reassignment NPD
• Ali Ibrahim Nasrallah

  • Family Medicine Physician
  • Dearborn Heights, MI
  • NPI 1972096261
  Medicare reassignment NPD
• Gina Mary Peruzzi

  • Physician Assistant
  • Allen Park, MI
  • NPI 1083567044
  Medicare reassignment NPD
• Zainab Saad

  • Family Nurse Practitioner
  • Dearborn Heights, MI
  • NPI 1437883253
  Medicare reassignment NPD
• Hassan Tekko

  • Family Nurse Practitioner
  • Flint, MI
  • NPI 1376354829
  Medicare reassignment NPD
• Jillian Vogley

  • Physician Assistant
  • Port Huron, MI
  • NPI 1588244057
  Medicare reassignment NPD
• Fatmeh Zeinel Ankouni

  • Physician Assistant
  • Troy, MI
  • NPI 1043948821
  Medicare reassignment
• Ali Baydoun, DO

  • Family Medicine Physician
  • Dearborn Heights, MI
  • NPI 1023500840
  NPD

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1356047773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19100 GODDARD RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011156",
            "telephone_number": "313-763-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19100 GODDARD RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011156",
            "telephone_number": "313-763-0309",
            "fax_number": "313-771-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDWORKS URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "MIRZA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "313-763-0309",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brendon Chase Mathis, RBT-17-2922-3
• Joseph R Mazur, FNP-C
• John McCracken, M.D.
• Lisa Ruth McLean, PA-C
• Medical Transportation of Michigan
• Kelly Meeker
• Ali H Mehram, MD
• Meijer Inc (Meijer Pharmacy #233)
• Metropolitan Urology, P.C.
• Ashley Miazga

• Urgent Care Clinic/Center in Allen Park, MI
• Providers in Allen Park, 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 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.