Keystone Urgent Care P.C.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

4301079461 Issued in MI

Legal business name

KEYSTONE URGENT CARE P.C.

Practice address

5097 Miller Rd
Flint, MI 48507-1043

Phone

(810) 877-8130

Fax

(810) 275-6703

NPI assigned

Jan 16, 2015

Last updated

Apr 6, 2015By 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

Dr. Hatem M Ataya, M.D.

Title

President

Phone

(810) 877-7130

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428278400000",
    "number": "1528457363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5097 MILLER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071043",
            "telephone_number": "810-877-8130",
            "fax_number": "810-275-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5097 MILLER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071043",
            "telephone_number": "810-877-8130",
            "fax_number": "810-275-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE URGENT CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-16",
        "last_updated": "2015-04-06",
        "status": "A",
        "authorized_official_last_name": "ATAYA",
        "authorized_official_first_name": "HATEM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-877-7130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MI",
            "license": "4301079461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4716141",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kavitha Kesari, MD
• Timothy Raymond Kessler, PA-C
• Keva Angels Home Care LLC
• Kevin J Gaffney MD PC
• Julie Keyes, R.N.
• Priscilla Keziah
• KFR PLLC (Flint Urgent Care)
• Abdul Mannan Khaja, RPH
• Justin Robert Khalasawi, PRC
• Amna Khalid, MD

• Urgent Care Clinic/Center in Flint, MI
• Providers in Flint, 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 Apr 6, 2015; 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.