Organization Active NPI

Northeast Macomb Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Clinton TWP, MI
National Provider Identifier
1487880555
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
7301063833 Issued in MI
Legal business name
NORTHEAST MACOMB URGENT CARE PLLC
Practice address
43900 Garfield Road
Ste #121 Northeast Macomb Urgent Care PLLC
Clinton TWP, MI 48038-1137
Phone
(734) 402-2000
Fax
(734) 402-2400
NPI assigned
Jun 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Authorized official

Name
Mrs. Farah S Iftikhar, MDNPI 1376542035
Title
Member
Phone
(734) 402-2000

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)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 7301063833 MI Primary

Addresses

Primary practice location

43900 Garfield Road
Ste #121 Northeast Macomb Urgent Care PLLC
Clinton TWP, MI 48038-1137

Mailing address

33405 W. 12 Mile Road
Ste #173 Urgent Care Management
Farmington Hills, MI 48331
Phone (734) 402-2000

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1487880555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33405 W. 12 MILE ROAD",
            "address_2": "STE #173 URGENT CARE MANAGEMENT",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "48331",
            "telephone_number": "734-402-2000",
            "fax_number": "734-402-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43900 GARFIELD ROAD",
            "address_2": "STE #121 NORTHEAST MACOMB URGENT CARE PLLC",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381137",
            "telephone_number": "734-402-2000",
            "fax_number": "734-402-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST MACOMB URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "IFTIKHAR",
        "authorized_official_first_name": "FARAH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "734-402-2000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MI",
            "license": "7301063833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.