Healing Hands Urgent Care Medical Clinic PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301048260 Issued in MI

Legal business name

HEALING HANDS URGENT CARE MEDICAL CLINIC PC

Practice address

2157 Orchard Lake Rd
Sylvan Lake, MI 48320-1749

Phone

(248) 857-7878

Fax

(248) 932-8673

NPI assigned

Jan 13, 2011

Organization subpart

No

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

Authorized official

Name

Mohammad Nuril Amin, MDNPI 1083612840

Title

Owner/Physician

Phone

(248) 857-7878

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• healing hands urgent care medical clinic,pc Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Tax ID family

Healing Hands Urgent Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Healing Hands Urgent Care Medical Clinic PC

  • Pediatrics Physician
  • Sylvan Lake, MI
  • NPI 1780988493
  NPD tax ID

Practitioners 3

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

• Mohammad Nurul Amin, MD

  • Pediatrics Physician
  • Sylvan Lake, MI
  • NPI 1083612840
  Medicare reassignment Authorized official
• David William Thomas, DO

  • Emergency Medicine Physician
  • Clarkston, MI
  • NPI 1942208772
  NPD (past)
• Michael Gregory Williams, MD

  • General Practice Physician
  • Southfield, MI
  • NPI 1578561304

  Emergency Medicine

  NPD (past)

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1578868089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2157 ORCHARD LAKE RD",
            "city": "SYLVAN LAKE",
            "state": "MI",
            "postal_code": "483201749",
            "telephone_number": "248-857-7878",
            "fax_number": "248-932-8673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2157 ORCHARD LAKE RD",
            "city": "SYLVAN LAKE",
            "state": "MI",
            "postal_code": "483201749",
            "telephone_number": "248-857-7878",
            "fax_number": "248-932-8673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HANDS URGENT CARE MEDICAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "NURIL",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "248-857-7878",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101011134",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301048260",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578868089",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "healing hands urgent care medical clinic,pc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deaf Community Advocacy Network, Inc.
• Kristen M. Delange, MS, LPC, NCC, CAADC
• Carol Jane Diskin, MSW
• Gary Stephen Granat
• Ashok Gupta, M.D.
• Healing Hands Urgent Care Medical Clinic PC
• Venette Rhea Hysmith, MT
• Renee Kuza
• Helene Tracy Little X
• Motria Lusk

• Pediatrics Physician in Sylvan Lake, MI
• Providers in Sylvan Lake, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.