Organization Active NPI

Somerset Walk in Clinic PLLC

  • Clinic/Center
  • Troy, MI
National Provider Identifier
1972098895
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SOMERSET WALK IN CLINIC PLLC
Practice address
1500 W Big Beaver Rd Ste 104
Troy, MI 48084-3522
Phone
(248) 649-4444
Fax
(248) 649-4445
NPI assigned
Jun 22, 2018
Last updated
Dec 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Authorized official

Name
Cathy Naddaf
Title
Office Manager
Phone
(877) 488-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1500 W Big Beaver Rd Ste 104
Troy, MI 48084-3522

Mailing address

1500 W Big Beaver Rd Ste 104
Troy, MI 48084-3522
Phone (248) 649-4444

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544140800000",
    "number": "1972098895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 W BIG BEAVER RD STE 104",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843522",
            "telephone_number": "248-649-4444",
            "fax_number": "248-649-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W BIG BEAVER RD STE 104",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843522",
            "telephone_number": "248-649-4444",
            "fax_number": "248-649-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERSET WALK IN CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-22",
        "last_updated": "2018-12-07",
        "status": "A",
        "authorized_official_last_name": "NADDAF",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "877-488-2273"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; 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.