Active NPI
Harper Urgent Care PLLC
- Urgent Care Clinic/Center
- Saint Clair Shores, MI
National Provider Identifier
1992442560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- HARPER URGENT CARE PLLC
- Practice address
- 25515 Harper Ave
Saint Clair Shores, MI 48081-2209 - Phone
- (248) 850-8395
- Fax
- (248) 850-8495
- NPI assigned
- May 16, 2022
- 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
- Fadi Demashkieh
- Title
- Owner/Physician
- Phone
- (248) 561-1291
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
25515 Harper Ave
Saint Clair Shores, MI 48081-2209
Mailing address
25515 Harper Ave
Saint Clair Shores, MI 48081-2209
Phone (248) 850-8395
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220718000766 | MI | Part B Supplier - Clinic/Group Practice | 6507247939 |
Receives reassigned benefits from 66 practitioners Practice locations: Saint Clair Shores, MI |
National Provider Directory
National Provider DirectoryLocations
25515 Harper Ave
#U
St Clr Shores, MI 48081
Phone (248) 850-8395
Practitioners & affiliated clinicians
Practitioners 68
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": "1652659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653004800000",
"number": "1992442560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25515 HARPER AVE",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480812209",
"telephone_number": "248-850-8395",
"fax_number": "248-850-8495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25515 HARPER AVE",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480812209",
"telephone_number": "248-850-8395",
"fax_number": "248-850-8495"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARPER URGENT CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-16",
"last_updated": "2022-05-20",
"certification_date": "2022-05-20",
"status": "A",
"authorized_official_last_name": "DEMASHKIEH",
"authorized_official_first_name": "FADI",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "248-561-1291"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.