Metro Urgent Care & Family Medical Center PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101 010840 Issued in MI

Legal business name

METRO URGENT CARE & FAMILY MEDICAL CENTER PC

Practice address

752 Southfield Rd
Lincoln Park, MI 48146-2610

Phone

(313) 388-1400

Fax

(313) 388-2366

NPI assigned

Mar 10, 2008

Last updated

Dec 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Theophilus Osayi Ulinfun, D.O.NPI 1043281272

Title

Owner

Phone

(313) 388-1400

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Tax ID family

Metro Urgent Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Metro Urgent Care

  • Family Medicine Physician
  • Lincoln Park, MI
  • NPI 1588850424
  NPD tax ID

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.

• Theophilus Osayi Ulinfun, D.O.

  • Family Medicine Physician
  • Lincoln Park, MI
  • NPI 1043281272
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387411200000",
    "number": "1740450303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 SOUTHFIELD RD",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462610",
            "telephone_number": "313-388-1400",
            "fax_number": "313-388-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 SOUTHFIELD RD",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462610",
            "telephone_number": "313-388-1400",
            "fax_number": "313-388-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO URGENT CARE & FAMILY MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2013-12-19",
        "status": "A",
        "authorized_official_last_name": "ULINFUN",
        "authorized_official_first_name": "THEOPHILUS",
        "authorized_official_middle_name": "OSAYI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-388-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101 010840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4167809",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0858206604",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas Merenda, LRN
• Meridian Medical PLLC (Meridian Clinic PC)
• Katherine Grinenko Metcalf, NP
• Metro Family Clinics
• Metro Urgent Care
• Metroplex Wellness Centre, Inc.
• Metropolitan Health Care Inc (Concord EMS)
• Kyle Alan Metz, PHARM. D.
• Michael a. Izzo DDS PC
• Michigan Rehabilitation Care Inc

• Family Medicine Physician in Lincoln Park, MI
• Providers in Lincoln Park, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.