Novahealth Urgent Care of Southfield

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

NOVAHEALTH URGENT CARE OF SOUTHFIELD

Practice address

25775 W 10 Mile Rd Ste B
Southfield, MI 48033-4856

Phone

(313) 753-0016

NPI assigned

Jun 19, 2023

Organization subpart

No

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

Authorized official

Name

Harvey BouruNPI 1518582485

Title

Owner

Phone

(313) 753-0016

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Harvey Bouru

  • Physician Assistant
  • Lincoln Park, MI
  • NPI 1518582485
  Medicare reassignment Care Compare group Authorized official
• Jacqueline Hardy

  • Physician Assistant
  • Bingham Farms, MI
  • NPI 1356981906
  Medicare reassignment Care Compare group
• Jennifer J Parks, MD

  • Family Medicine Physician
  • White Cloud, MI
  • NPI 1700805199
  Medicare reassignment NPD
• Skylar Raitt

  • Physician Assistant
  • Northville, MI
  • NPI 1043036932
  Medicare reassignment

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1841975620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25775 W 10 MILE RD STE B",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480334856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25775 W 10 MILE RD STE B",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480334856",
            "telephone_number": "313-753-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVAHEALTH URGENT CARE OF SOUTHFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "BOURU",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-753-0016"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nosha Medical Supplies
• Jason Daniel Nosrati, M.D.
• Ambrosia Nottage, LPC,CRC
• Nova DME LLC
• Nova Health Pharmacy LLC (ADS - Southfield)
• Toyia Novak
• Novamed LLC
• Gasper Novara, LMSW
• Novela Counseling Center
• Novela Rehab Clinic P.C

• Urgent Care Clinic/Center in Southfield, MI
• Providers in Southfield, 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 Jun 19, 2023; 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.