MD Enterprises PLLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MD ENTERPRISES PLLC

Doing business as

AMD Urgent Care Davison

Practice address

1477 S State Rd
Davison, MI 48423-1911

Phone

(810) 564-7995

NPI assigned

Nov 2, 2016

Last updated

Nov 2, 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

Paul Massimino

Title

Coo

Phone

(810) 564-7995

Specialties & licenses 1

Addresses

Other names 1

• AMD Urgent Care Davison Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 19

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.

• Peter J. Stoyanoff, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Flint, MI
  • NPI 1548359375
  Medicare reassignment Care Compare group NPD
• Mark D. Wilkerson, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Flint, MI
  • NPI 1023114287
  Medicare reassignment Care Compare group NPD
• Shelby Ruggirello

  • Physician Assistant
  • Swartz Creek, MI
  • NPI 1013567783
  Medicare reassignment Care Compare group
• Allison Renee McConnell, PA-C

  • Physician Assistant
  • Ann Arbor, MI
  • NPI 1255217634
  Medicare reassignment NPD
• Jordan Marie Attisha, PA-C

  • Medical Physician Assistant
  • Livonia, MI
  • NPI 1578048138
  Medicare reassignment
• Montana Boris, PA-C

  • Physician Assistant
  • Clio, MI
  • NPI 1578162277
  Medicare reassignment
• Colette Marie Icasiano Clayton, M.S., P.A.-C

  • Physician Assistant
  • Clinton Township, MI
  • NPI 1639688393
  Medicare reassignment
• Samuel Dyka

  • Physician Assistant
  • Montrose, MI
  • NPI 1326183989
  Medicare reassignment
• Marygrace Therese Hayden

  • Physician Assistant
  • Clarkston, MI
  • NPI 1487243630
  Medicare reassignment
• Alyson Marie Lenz

  • Physician Assistant
  • Fenton, MI
  • NPI 1376231142
  Medicare reassignment
• Nicole Elisabeth McCullough, PA-C

  • Medical Physician Assistant
  • Swartz Creek, MI
  • NPI 1497388441
  Medicare reassignment
• Brett Austin McGue, PA-C

  • Physician Assistant
  • Clio, MI
  • NPI 1174389621
  Medicare reassignment

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1598217853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 S STATE RD",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231911",
            "telephone_number": "810-564-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1477 S STATE RD",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231911",
            "telephone_number": "810-564-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD ENTERPRISES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-02",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "MASSIMINO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "810-564-7995"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMD Urgent Care Davison",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• McLaren Health Management Group (McLaren Medical Supplies)
• McLaren Medical Management Inc
• Jennifer Lynne McMahon
• Collin James McMillan, CPT
• Medical Equipment of Michigan
• Asie Lee Meeks
• Meijer Inc (Meijer Pharmacy #244)
• Merit Health Care Clinic, PLLC
• Michigan Community Services, Inc

• Urgent Care Clinic/Center in Davison, MI
• Providers in Davison, 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 Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.