Organization Active NPI

Novi Urgent Care PLLC

  • Internal Medicine Physician
  • Novi, MI
National Provider Identifier
1619920253
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301052864 Issued in MI
Legal business name
NOVI URGENT CARE PLLC
Practice address
43535 Grand River Ave
Novi, MI 48375-1108
Phone
(248) 946-4500
Fax
(248) 946-4503
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Authorized official

Name
Dr. Samer A Nasry, MD
Title
Medical Director
Phone
(248) 946-4500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 4301052864 MI Primary
Urgent Care Clinic/Center 261QU0200X 4301052864 MI

Addresses

Primary practice location

43535 Grand River Ave
Novi, MI 48375-1108

Mailing address

43535 Grand River Ave
Novi, MI 48375-1108
Phone (248) 946-4500

National Provider Directory

National Provider Directory

Locations

43535 Grand River Ave
Ste 300
Novi, MI 48375
Phone (248) 946-4500

43535 Grand River Ave
Novi, MI 48375
Phone (248) 946-4500

24230 Karim Blvd
Ste 125
Novi, MI 48375
Phone (248) 474-2700

Practitioners & affiliated clinicians

Practitioners 3

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": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1619920253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43535 GRAND RIVER AVE",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751108",
            "telephone_number": "248-946-4500",
            "fax_number": "248-946-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43535 GRAND RIVER AVE",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751108",
            "telephone_number": "248-946-4500",
            "fax_number": "248-946-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVI URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "NASRY",
        "authorized_official_first_name": "SAMER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "248-946-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301052864",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MI",
            "license": "4301052864",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.