Saint Clair Shores Prompt Care PLLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

SAINT CLAIR SHORES PROMPT CARE PLLC

Practice address

25631 Little Mack Avenue
Suite 104
Saint Clair Shores, MI 48081-2100

Phone

(586) 884-2727

Fax

(586) 566-1674

NPI assigned

Dec 8, 2010

Last updated

Dec 8, 2010By 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

Theodore L Tangalos, M.D.NPI 1760466585

Title

Owner

Phone

(586) 726-4823

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Theodore L Tangalos, MD

  • Family Medicine Physician
  • Sterling Heights, MI
  • NPI 1760466585
  Authorized official Same address or phone

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1891098174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43455 SCHOENHERR ROAD",
            "address_2": "SUITE 2",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131972",
            "telephone_number": "586-726-4823",
            "fax_number": "586-726-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25631 LITTLE MACK AVENUE",
            "address_2": "SUITE 104",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480812100",
            "telephone_number": "586-884-2727",
            "fax_number": "586-566-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT CLAIR SHORES PROMPT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "TANGALOS",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-726-4823",
        "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": []
}

• David James Saglimbene, D.D.S.
• Mohammed Sahly, MD
• Sailaja Datla MD PLC
• Saint Clair Family Pharmacy LLC (Lifesmart RX Pharmacy)
• Saint Clair Shores Pharmacy LLC
• Monika Saladiak, LPC
• Isabella Salas, BEHAVIOR TECHNICIAN
• Reina O Salazar, MD
• Ella Samhat
• Carol Y. Sanders, M.D.

• Urgent Care Clinic/Center in Saint Clair Shores, MI
• Providers in Saint Clair Shores, 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 Dec 8, 2010; 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.