Organization Active NPI

Elite Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Dearborn, MI
National Provider Identifier
1972852705
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
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

Updated by the provider on Oct 9, 2014

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.