First Choice Urgent Care PC
Organization Active NPI Urgent Care Clinic/Center · Dearborn, MI
NPI 1629201264 · NPPES record last updated Feb 16, 2016
Key facts
- NPI
- 1629201264
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- FIRST CHOICE URGENT CARE PC
- Practice address
- 23455 Michigan Ave
Suite a
Dearborn, MI 48124-1908 - Phone
- (313) 438-6094
- Fax
- (313) 438-6132
- NPI assigned
- Aug 31, 2009
- Organization subpart
- No
Authorized official
- Name
- Ali Hassan, MD
- Title
- President
- Phone
- (313) 438-6094
Practitioners 288
-
Deya Abdelbaki, NP
-
Zainab Altalaqani, PHYSICIAN ASSISTANT
-
Ali K Ayoub, FNP
-
Nasira P Bhatti, NP
-
Maria J Cooper, NP
-
Andrew Damaske, D.O.
-
Carissa Korlewitz, FNP-C
-
Sherry Ann Malinczak, FNP-BC
-
Marko Martinovski, M.D.
-
Crystal Ann Shagena, FNP-BC
-
Jessica Szatkowski, NP-C
-
Dawn Turner, DO
-
Kenneth Michael Walter, NP-C
-
Shannon J Ziriada, FNP-BC
-
Meghan Inman, FNP
-
Leila Akhavan Shahr Ashoub, MS, PA-C
-
Kristina Camaj, PA
-
Colette Marie Icasiano Clayton, M.S., P.A.-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2055205 | First Choice Urgent Care | Certificate of waiver | Mar 6, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100126000872 | MI | Part B Supplier - Clinic/Group Practice | 9739221912 |
Receives reassigned benefits from 79 practitioners Practice locations: Waterford, MI; Washington, MI; Warren, MI; Taylor, MI; Southfield, MI; Garden City, MI; Saint Clair Shores, MI; Royal Oak, MI… |
| O20160216002799 | MI | DME Supplier - Physician - General Practice | 9739221912 | Practice locations: Dearborn, MI |
National Provider Directory
Locations
23455 Michigan Ave
Dearborn, MI 48124
Phone (313) 438-6094
12841 Ford Rd
Dearborn, MI 48126
Phone (313) 710-4199
23455 Michigan Ave
Ste A
Dearborn, MI 48124
Phone (734) 333-8001
31450 Ford Rd
Garden City, MI 48135
Phone (734) 333-8001
31450 Ford Rd
Ste A
Garden City, MI 48135
Phone (313) 438-6094
18200 23 Mile Rd
Macomb, MI 48044
Phone (586) 992-5500
25515 Harper Ave
St Clr Shores, MI 48081
Phone (248) 850-8395
10155 Telegraph Rd
Taylor, MI 48180
Phone (734) 333-8001
25600 Schoenherr Rd
Warren, MI 48089
Phone (586) 777-6170
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
23455 Michigan Ave
Suite a
Dearborn, MI 48124-1908
Mailing address
23455 Michigan Ave
Suite a
Dearborn, MI 48124-1908
Phone (313) 438-6094
Other providers in Dearborn, MI
- Firestone Medical Center PLLC
- Firestone Procedure Center LLC
- First Care Solutions, LLC
- First Choice Medical Group PLLC
- First Choice Physical Therapy Services, PLLC
- First National Medical Supplies
- First National Rehab Inc
- First Rehab Pain Management Inc.
- First Response Medical Supplies LLC
- Christine Littmann Fischer
All providers in Dearborn, MI · Urgent Care Clinic/Center in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.