Elite Urgent Care Corp

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

OTC4649 Issued in AZ

Legal business name

ELITE URGENT CARE CORP

Doing business as

Elite Urgent Care

Practice address

652 E Warner Rd
Suite 107
Gilbert, AZ 85296-3071

Phone

(480) 892-5555

Fax

(480) 545-3188

NPI assigned

Jan 14, 2009

Organization subpart

No

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

Authorized official

Name

Rod K. Ghani

Title

President

Phone

(614) 264-6567

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Elite Urgent Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mufid N Khoury, MD

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1396893335
  NPD (past)

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248998400000",
    "number": "1386881266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1506",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852111506",
            "telephone_number": "480-844-8588",
            "fax_number": "480-844-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 E WARNER RD",
            "address_2": "SUITE 107",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963071",
            "telephone_number": "480-892-5555",
            "fax_number": "480-545-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE URGENT CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-07-31",
        "status": "A",
        "authorized_official_last_name": "GHANI",
        "authorized_official_first_name": "ROD",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-264-6567"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "AZ",
            "license": "OTC4649",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "AZ",
            "license": "14522",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "406581",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elite Mental Health and Wellness
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• Elite Performance Chiropractic
• Elite Performance Physical Therapy
• Elite Sports Therapy Inc
• Elitemed Consultants LLC
• Elixeum Health, LLC (Elixeum Health)
• Elizabeth a Shrader, DNP, PLLC (Bella Vita Integrated Healing)
• Elizabeth Change MD PC
• Denise Fatima Elizarraraz, FNP-C

• Urgent Care Clinic/Center in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Urgent Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.