NPIMap

Organization Active NPI

My Urgent Medical Management Services

Doing business as Ya Tro M.D. Urgent Care

  • Urgent Care Clinic/Center
  • Woodhaven, MI
National Provider Identifier
1730620626
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MY URGENT MEDICAL MANAGEMENT SERVICES
Doing business as
Ya Tro M.D. Urgent Care
Practice address
21090 Allen Rd
Woodhaven, MI 48183-1602
Phone
(248) 820-9828
Fax
(734) 926-1911
NPI assigned
Mar 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Authorized official

Name
Shannon Ketelhut
Title
Executive Management
Phone
(248) 820-9828

Specialties & licenses 1

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

Addresses

Primary practice location

21090 Allen Rd
Woodhaven, MI 48183-1602

Mailing address

2232 S Main St
Suite 475
Ann Arbor, MI 48103-6938
Phone (248) 820-9828

Other names 1

  • Ya Tro M.D. Urgent Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1730620626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 S MAIN ST",
            "address_2": "SUITE 475",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036938",
            "telephone_number": "248-820-9828",
            "fax_number": "734-692-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21090 ALLEN RD",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481831602",
            "telephone_number": "248-820-9828",
            "fax_number": "734-926-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY URGENT MEDICAL MANAGEMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "KETELHUT",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "EXECUTIVE MANAGEMENT",
        "authorized_official_telephone_number": "248-820-9828"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ya Tro M.D. Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodhaven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.