Organization Active NPI

City Urgent Care PC

  • Family Medicine Physician
  • Royal Oak, MI
National Provider Identifier
1861866980
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CITY URGENT CARE PC
Practice address
1010 N Campbell Rd
Ste 3
Royal Oak, MI 48067-1570
Phone
(904) 388-4712
Fax
(904) 388-2138
NPI assigned
Dec 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Authorized official

Name
Dr. Wissam Shaya, MD
Title
President
Phone
(904) 388-4712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1010 N Campbell Rd
Ste 3
Royal Oak, MI 48067-1570

Mailing address

1010 N Campbell Rd
Ste 3
Royal Oak, MI 48067-1570
Phone (904) 388-4712

National Provider Directory

National Provider Directory
Tax ID family
City Urgent Care PC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1861866980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N CAMPBELL RD",
            "address_2": "STE 3",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671570",
            "telephone_number": "904-388-4712",
            "fax_number": "904-388-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N CAMPBELL RD",
            "address_2": "STE 3",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671570",
            "telephone_number": "904-388-4712",
            "fax_number": "904-388-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY URGENT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "SHAYA",
        "authorized_official_first_name": "WISSAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-388-4712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.