Michigan Specialty Clinic PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

MICHIGAN SPECIALTY CLINIC PLLC

Practice address

13530 Michigan Ave Ste 110
Dearborn, MI 48126-3575

Phone

(313) 945-9800

NPI assigned

Mar 5, 2022

Organization subpart

No

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

Authorized official

Name

Fatina Masri, MDNPI 1013180322

Title

Owner

Phone

(313) 945-9800

Specialties & licenses 1

Addresses

Tax ID family

Advanced Urgent Care Clinic2 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.

• Michigan Specialty Clinic PLLC

  • Urgent Care Clinic/Center
  • Dearborn, MI
  • NPI 1295247633
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fatina Masri, MD

  • General Practice Physician
  • Dearborn, MI
  • NPI 1013180322
  NPD (past) Authorized official

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

{
    "created_epoch": "1646438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646438400000",
    "number": "1942957360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13530 MICHIGAN AVE STE 110",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263575",
            "telephone_number": "313-945-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13530 MICHIGAN AVE STE 110",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263575",
            "telephone_number": "313-945-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN SPECIALTY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-05",
        "last_updated": "2022-03-05",
        "certification_date": "2022-03-05",
        "status": "A",
        "authorized_official_last_name": "MASRI",
        "authorized_official_first_name": "FATINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-945-9800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michigan Sleep Lab
• Michigan Specialty Clinic PLLC
• Michigan Specialty Clinic PLLC
• Michigan Specialty Clinic PLLC
• Michigan Specialty Clinic PLLC
• Michigan Spine Management Clinic PLC
• Michigan Surgery Specialists, P.C.
• Michigan Surgery Specialists, P.C.
• Michigan Technology Partners LLC
• Michigan Vascular Surgery PLLC

• Interventional Pain Medicine Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Interventional Pain Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2022; 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.