Organization Active NPI

Apex Urgent Care PLLC

  • Internal Medicine Physician
  • Warren, MI
National Provider Identifier
1902124019
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301078766 Issued in MI
Legal business name
APEX URGENT CARE PLLC
Practice address
27301 Schoenherr Rd
Suite 106
Warren, MI 48088-6649
Phone
(586) 754-8888
Fax
(586) 754-8811
NPI assigned
May 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Authorized official

Name
Mahir Matti, MD
Title
Owner
Phone
(586) 754-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 4301078766 MI Primary

Addresses

Primary practice location

27301 Schoenherr Rd
Suite 106
Warren, MI 48088-6649

Mailing address

27301 Schoenherr Rd
Suite 106
Warren, MI 48088-6649
Phone (586) 754-8888

Other identifiers 2

IdentifierTypeStateIssuer
1902124019MedicaidMI
110E035750OtherMIBCBS GROUP PIN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1902124019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27301 SCHOENHERR RD",
            "address_2": "SUITE 106",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480886649",
            "telephone_number": "586-754-8888",
            "fax_number": "586-754-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27301 SCHOENHERR RD",
            "address_2": "SUITE 106",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480886649",
            "telephone_number": "586-754-8888",
            "fax_number": "586-754-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-13",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "MATTI",
        "authorized_official_first_name": "MAHIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-754-8888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301078766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902124019",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PIN",
            "identifier": "110E035750",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.