Michigan Specialty Clinic PLLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MICHIGAN SPECIALTY CLINIC PLLC

Practice address

13510 Michigan Ave
Dearborn, MI 48126-3511

Phone

(313) 582-0100

NPI assigned

Feb 25, 2019

Organization subpart

No

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

Authorized official

Name

Fatina Masri, MDNPI 1013180322

Title

Owner

Phone

(313) 945-9800

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Fatina Masri, MD

  • General Practice Physician
  • Dearborn, MI
  • NPI 1013180322
  Authorized official Same address or phone

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1730646977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13510 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263511",
            "telephone_number": "313-582-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13510 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263511",
            "telephone_number": "313-582-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN SPECIALTY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-25",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "MASRI",
        "authorized_official_first_name": "FATINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-945-9800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760700660",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michigan Retina Center, PC
• Michigan Sleep Center PLLC
• Michigan Sleep Lab
• Michigan Specialty Clinic PLLC (Advanced Urgent Care Clinic)
• Michigan Specialty Clinic PLLC
• Michigan Specialty Clinic PLLC
• Michigan Specialty Clinic PLLC
• Michigan Spine Management Clinic PLC (michigan spine management)
• Michigan Surgery Specialists, P.C. (Motus Rehabilitation)
• Michigan Surgery Specialists, P.C.

• Urgent Care Clinic/Center in Dearborn, MI
• Providers in Dearborn, 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 Mar 10, 2020; 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.