Active NPI
Elite Urgent Care PLLC
- Urgent Care Clinic/Center
- Dearborn, MI
National Provider Identifier
1972852705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- ELITE URGENT CARE PLLC
- Practice address
- 15301 Tireman Ave
Ste-a
Dearborn, MI 48126-1045 - Phone
- (313) 736-5004
- NPI assigned
- Sep 7, 2012
- 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
- Ms. Maryam M Mihtar, RMA
- Title
- President
- Phone
- (313) 736-5004
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
15301 Tireman Ave
Ste-a
Dearborn, MI 48126-1045
Mailing address
5293 Hartwell St
Dearborn, MI 48126-3309
Phone (313) 736-5004
National Provider Directory
National Provider DirectoryLocations
15301 Tireman Ave
#A
Dearborn, MI 48126
Phone (313) 736-5004
15301 Tireman Ave
Dearborn, MI 48126
Phone (313) 633-1483
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Family Medicine Physician
- Dearborn, MI
- NPI 1043600257
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- Clarksdale, MS
- NPI 1861672990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412812800000",
"number": "1972852705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5293 HARTWELL ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263309",
"telephone_number": "313-736-5004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15301 TIREMAN AVE",
"address_2": "STE-A",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481261045",
"telephone_number": "313-736-5004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE URGENT CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-07",
"last_updated": "2014-10-09",
"status": "A",
"authorized_official_last_name": "MIHTAR",
"authorized_official_first_name": "MARYAM",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "313-736-5004",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RMA"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.