Peregrine Urgent Care Inc.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PEREGRINE URGENT CARE INC.

Doing business as

Doctors Express Granger

Practice address

7115 Heritage Square Dr
Suite 1250
Granger, IN 46530-5639

Phone

(574) 272-2000

Fax

(574) 272-3300

NPI assigned

Dec 18, 2012

Organization subpart

Yes

Parent organization

PEREGRINE URGENT CARE INC.As reported in NPPES

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

Authorized official

Name

Dr. Michael Louis Martino, M.D.

Title

Owner / Physician

Phone

(412) 854-4351

Specialties & licenses 1

Addresses

Other names 1

• Doctors Express Granger Doing business as

Part of

Peregrine Urgent Care Inc

Locations

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369353600000",
    "number": "1831435924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7115 HERITAGE SQUARE DR",
            "address_2": "SUITE 1250",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465305639",
            "telephone_number": "574-272-2000",
            "fax_number": "574-272-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 HERITAGE SQUARE DR",
            "address_2": "SUITE 1250",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465305639",
            "telephone_number": "574-272-2000",
            "fax_number": "574-272-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEREGRINE URGENT CARE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEREGRINE URGENT CARE INC.",
        "enumeration_date": "2012-12-18",
        "last_updated": "2013-05-24",
        "status": "A",
        "authorized_official_last_name": "MARTINO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "412-854-4351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Express Granger",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Smita V Patel, MD
• Paxxon Healthcare Services LLC
• Emily Peak
• Angela Nicole Peck, PHARMD
• Carolyn Ford Penn, LSW
• Maurice Phillips
• Sara B Piller
• Joy Katherine Pletcher, CSFA
• Tara Polk
• Amanda Lynn Ponce de Leon, DPT

• Urgent Care Clinic/Center in Granger, IN
• Providers in Granger, IN by specialty
• Urgent Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.