Organization Active NPI

Grosse Ile Urgent Care PC

  • Internal Medicine Physician
  • Grosse Ile, MI
National Provider Identifier
1932316643
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301065784 Issued in MI
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

Updated by the provider on May 22, 2008

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 4301065784 MI
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
700H203090OtherMIBLUE CARE NETWORK
5198757MedicaidMI
5198748MedicaidMI
700H203090OtherMIBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.