Active NPI
Grosse Ile Urgent Care PC
- Internal Medicine Physician
- Grosse Ile, MI
National Provider Identifier
1932316643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301065784
- Legal business name
- GROSSE ILE URGENT CARE PC
- Practice address
- 8944 Macomb St
Grosse Ile, MI 48138-2089 - Phone
- (734) 365-5200
- Fax
- (734) 365-5201
- NPI assigned
- May 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mohammed A Arsiwala, MD
- Title
- Owner Medical Director Physician
- Phone
- (734) 365-5200
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301065784 | MI | |
| Internal Medicine Physician | 207R00000X | 4301065784 | MI | Primary |
| Urgent Care Clinic/Center | 261QU0200X | 4301075100 | MI |
Addresses
Primary practice location
8944 Macomb St
Grosse Ile, MI 48138-2089
Mailing address
PO Box 32588 05
Detroit, MI 48232-0588
Phone (734) 365-5200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 700H203090 | Other | MI | BLUE CARE NETWORK |
| 5198757 | Medicaid | MI | |
| 5198748 | Medicaid | MI | |
| 700H203090 | Other | MI | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211414400000",
"number": "1932316643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32588 05",
"city": "DETROIT",
"state": "MI",
"postal_code": "482320588",
"telephone_number": "734-365-5200",
"fax_number": "734-365-5201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8944 MACOMB ST",
"city": "GROSSE ILE",
"state": "MI",
"postal_code": "481382089",
"telephone_number": "734-365-5200",
"fax_number": "734-365-5201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GROSSE ILE URGENT CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-16",
"last_updated": "2008-05-22",
"status": "A",
"authorized_official_last_name": "ARSIWALA",
"authorized_official_first_name": "MOHAMMED",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER MEDICAL DIRECTOR PHYSICIAN",
"authorized_official_telephone_number": "734-365-5200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MI",
"license": "4301065784",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301065784",
"primary": true
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "MI",
"license": "4301075100",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "700H203090",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5198757",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5198748",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "700H203090",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grosse Ile, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.