Active NPI
Van Buren Urgent Care
- Family Nurse Practitioner
- Belleville, MI
National Provider Identifier
1407391147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704251692
- Legal business name
- VAN BUREN URGENT CARE
- Practice address
- 11650 Belleville Rd
Suite 101
Belleville, MI 48111-3380 - Phone
- (734) 699-9888
- NPI assigned
- Jan 5, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sameer Huraibi, MD
- Title
- Cmo
- Phone
- (734) 699-9888
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704251692 | MI | Primary |
Addresses
Primary practice location
11650 Belleville Rd
Suite 101
Belleville, MI 48111-3380
Mailing address
1806 Walnut St
Dearborn, MI 48124-5010
Phone (313) 999-0449
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538497250 | Medicaid | MI |
National Provider Directory
National Provider Directory- Tax ID family
- Van Buren Urgent Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Urgent Care Clinic/Center
- Van Buren TWP, MI
- NPI 1801124516
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Detroit, MI
- NPI 1437219391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1483574400000",
"number": "1407391147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1806 WALNUT ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481245010",
"telephone_number": "313-999-0449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11650 BELLEVILLE RD",
"address_2": "SUITE 101",
"city": "BELLEVILLE",
"state": "MI",
"postal_code": "481113380",
"telephone_number": "734-699-9888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VAN BUREN URGENT CARE",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-05",
"last_updated": "2017-01-05",
"status": "A",
"authorized_official_last_name": "HURAIBI",
"authorized_official_first_name": "SAMEER",
"authorized_official_title_or_position": "CMO",
"authorized_official_telephone_number": "734-699-9888",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704251692",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1538497250",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Belleville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.