Med Service Walk-in Clinic P C

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

JA029205 Issued in MI

Legal business name

MED SERVICE WALK-IN CLINIC P C

Doing business as

Convenient Care After Hours Clinic

Practice address

34336 Harper Ave
Clinton TWP, MI 48035-3704

Phone

(586) 791-9173

Fax

(586) 791-9373

NPI assigned

Aug 17, 2007

Last updated

Jan 21, 2016By 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. James C Askins, M.D.

Title

Owner/Medical Director

Phone

(586) 791-9173

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• CONVENIENT CARE AFTER HOURS CLINIC 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, and the practitioner matching its NPPES authorized official.

• Martin Bloda, M.D.

  • General Practice Physician
  • Clinton Township, MI
  • NPI 1629315353
  NPD (past)

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1568654002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WESTSHORE DR",
            "city": "JEROME",
            "state": "MI",
            "postal_code": "492499420",
            "telephone_number": "517-529-9266",
            "fax_number": "517-529-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34336 HARPER AVE",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480353704",
            "telephone_number": "586-791-9173",
            "fax_number": "586-791-9373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED SERVICE WALK-IN CLINIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "ASKINS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "586-791-9173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "JA029205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0805019941",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3166128",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CONVENIENT CARE AFTER HOURS CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.