Eastpointe Urgent Care Walk in Clinic P.C.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

EASTPOINTE URGENT CARE WALK IN CLINIC P.C.

Practice address

22471 Gratiot Ave
Eastpointe, MI 48021-2353

Phone

(734) 652-2385

NPI assigned

Jun 28, 2017

Organization subpart

No

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

Authorized official

Name

Muhammad Imran, MDNPI 1225428584

Title

Ceo

Phone

(734) 652-2385

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 15

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

• Muhammad Imran, MD

  • Internal Medicine Physician
  • Kalamazoo, MI
  • NPI 1225428584
  Medicare reassignment NPD Authorized official
• Jenna Burns, FNP

  • Family Nurse Practitioner
  • Rochester, MI
  • NPI 1427764935
  Medicare reassignment NPD
• Marilyn Pelletier Madajczyk, FNP-BC

  • Family Nurse Practitioner
  • Ray, MI
  • NPI 1578730875
  Medicare reassignment NPD
• Trevor Dennis, PA-C

  • Physician Assistant
  • Sterling Heights, MI
  • NPI 1952949117
  Medicare reassignment
• Alicia Mae Harden, PA-C

  • Physician Assistant
  • Grand Rapids, MI
  • NPI 1902473432
  Medicare reassignment
• Trevor Ingraham

  • Physician Assistant
  • Novi, MI
  • NPI 1770125577
  Medicare reassignment
• Andrew James Meyers, PA

  • Physician Assistant
  • Ann Arbor, MI
  • NPI 1720614019
  Medicare reassignment
• Steven Sarnowski, PA-C

  • Physician Assistant
  • Macomb, MI
  • NPI 1114488541
  Medicare reassignment
• Conicka M Toney, PA-C

  • Physician Assistant
  • Detroit, MI
  • NPI 1770229551
  Medicare reassignment
• Laura Lynn Trimas

  • Physician Assistant
  • Royal Oak, MI
  • NPI 1306488283
  Medicare reassignment
• Brody A Webster, PA-C

  • Physician Assistant
  • Eastpointe, MI
  • NPI 1154805083
  Medicare reassignment
• Billy Chen, PA-C

  • Physician Assistant
  • Macomb, MI
  • NPI 1962353326
  NPD (past)

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509408000000",
    "number": "1982125126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 ALEXANDER DR",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481869354",
            "telephone_number": "734-652-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22471 GRATIOT AVE",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480212353",
            "telephone_number": "734-652-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTPOINTE URGENT CARE WALK IN CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2017-10-31",
        "status": "A",
        "authorized_official_last_name": "IMRAN",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-652-2385",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urgent Care Clinic/Center in Eastpointe, MI
• Providers in Eastpointe, MI by specialty
• Urgent Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.