Urgent Care Aid Macomb PLLC

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

Legal business name

URGENT CARE AID MACOMB PLLC

Practice address

16820 21 Mile Rd
Macomb, MI 48044

Phone

(248) 508-7550

NPI assigned

Feb 1, 2021

Last updated

Feb 1, 2021By 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

Robert J Kantor, MD

Title

Owner

Phone

(248) 508-7550

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1740871912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16820 21 MILE RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "48044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16820 21 MILE RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "48044",
            "telephone_number": "248-508-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE AID MACOMB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "KANTOR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-508-7550",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1770522401",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Candace Vanbuhler, CTRS
• Courtney Vanderhaegen, COTA

• Preventive Medicine/Occupational Environmental Medicine Physician in Macomb, MI
• Providers in Macomb, MI by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.