Organization Active NPI

Meadowbrook Urgent Care II PC

  • Urgent Care Clinic/Center
  • Novi, MI
National Provider Identifier
1669707378
Registry record updated Oct 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
5101013830 Issued in MI
Legal business name
MEADOWBROOK URGENT CARE II PC
Practice address
25500 Meadowbrook Rd
Suite 190
Novi, MI 48375-1878
Phone
(248) 476-8500
Fax
(248) 522-0041
NPI assigned
Oct 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2009

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

Authorized official

Name
Rona Wadle, D.O
Title
Owner/ Medical Director
Phone
(248) 476-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 5101013830 MI Primary

Addresses

Primary practice location

25500 Meadowbrook Rd
Suite 190
Novi, MI 48375-1878

Mailing address

25500 Meadowbrook Rd
Suite 190
Novi, MI 48375-1878
Phone (248) 476-8500

Other identifiers 1

IdentifierTypeStateIssuer
H65468OtherMIUPIN

National Provider Directory

National Provider Directory

Locations

25500 Meadowbrook Rd
Ste 190
Novi, MI 48375
Phone (248) 476-8500

NPI Registry JSON

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1669707378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 MEADOWBROOK RD",
            "address_2": "SUITE 190",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751878",
            "telephone_number": "248-476-8500",
            "fax_number": "248-522-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 MEADOWBROOK RD",
            "address_2": "SUITE 190",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751878",
            "telephone_number": "248-476-8500",
            "fax_number": "248-522-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWBROOK URGENT CARE II PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "WADLE",
        "authorized_official_first_name": "RONA",
        "authorized_official_title_or_position": "OWNER/ MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "248-476-8500",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MI",
            "license": "5101013830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "H65468",
            "state": "MI"
        }
    ],
    "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 Oct 14, 2009; 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.