NPIMap

Organization Active NPI

Ppsmg Urgent Medical Care, PLLC

Doing business as AMD Urgent Care SC

  • Urgent Care Clinic/Center
  • Swartz Creek, MI
National Provider Identifier
1750704680
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
PPSMG URGENT MEDICAL CARE, PLLC
Doing business as
AMD Urgent Care SC
Practice address
7070 Miller Rd Ste a
Swartz Creek, MI 48473-1591
Phone
(810) 533-1468
NPI assigned
Jan 29, 2014
Last updated
Jun 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Authorized official

Name
Paul Massimino
Title
Managing Member
Phone
(810) 564-7995

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary
Basic Emergency Medical Technician 146N00000X NU

Addresses

Primary practice location

7070 Miller Rd Ste a
Swartz Creek, MI 48473-1591

Mailing address

7070 Miller Rd Ste a
Swartz Creek, MI 48473-1591
Phone (810) 564-7995

Other names 1

  • AMD Urgent Care SC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140501000412 MI Part B Supplier - Clinic/Group Practice 9234362005 Receives reassigned benefits from 24 practitioners
Practice locations: Swartz Creek, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2084245Ppsmg Urgent Medical Care, PLLC7070 Miller Road Suite a, Swartz Creek, MI 48473AccreditationNov 16, 2027

National Provider Directory

National Provider Directory

Locations

7070 Miller Rd
Ste A
Swartz Creek, MI 48473
Phone (810) 533-1468

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1750704680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7070 MILLER RD STE A",
            "city": "SWARTZ CREEK",
            "state": "MI",
            "postal_code": "484731591",
            "telephone_number": "810-564-7995",
            "fax_number": "810-564-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7070 MILLER RD STE A",
            "city": "SWARTZ CREEK",
            "state": "MI",
            "postal_code": "484731591",
            "telephone_number": "810-533-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PPSMG URGENT MEDICAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "MASSIMINO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "810-564-7995"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMD Urgent Care SC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AMD Urgent Care SC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Swartz Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.