Organization Active NPI

Prime Care One Urgent Care PLLC

  • Internal Medicine Physician
  • Dearborn, MI
National Provider Identifier
1427435684
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PRIME CARE ONE URGENT CARE PLLC
Practice address
5728 Schaefer Rd
Suite 103
Dearborn, MI 48126-2298
Phone
(313) 581-8080
NPI assigned
Apr 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Authorized official

Name
Hussein Ajrouche
Title
M.D.
Phone
(313) 244-2589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

5728 Schaefer Rd
Suite 103
Dearborn, MI 48126-2298

Mailing address

5728 Schaefer Rd
Suite 103
Dearborn, MI 48126-2298
Phone (313) 581-8080

National Provider Directory

National Provider Directory

Locations

24345 Northline Rd
Ste C
Taylor, MI 48180
Phone (734) 992-6415

NPI Registry JSON

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1427435684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5728 SCHAEFER RD",
            "address_2": "SUITE 103",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262298",
            "telephone_number": "313-581-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5728 SCHAEFER RD",
            "address_2": "SUITE 103",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262298",
            "telephone_number": "313-581-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE ONE URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "AJROUCHE",
        "authorized_official_first_name": "HUSSEIN",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "313-244-2589"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.