Active NPI
MD Urgent Care and Family Medicine PLLC
- Family Medicine Physician
- Warren, MI
National Provider Identifier
1992571632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MD URGENT CARE AND FAMILY MEDICINE PLLC
- Practice address
- 12640 E 12 Mile Rd
Warren, MI 48093-3520 - Phone
- (586) 249-7089
- NPI assigned
- Dec 4, 2023
- 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
- Amber Flint
- Title
- Office Manager
- Phone
- (586) 909-7616
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
12640 E 12 Mile Rd
Warren, MI 48093-3520
Mailing address
12640 E 12 Mile Rd
Warren, MI 48093-3520
Other names 1
- 24 HR Lifeline Urgent Care & Family Medicine
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711584000000",
"number": "1992571632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12640 E 12 MILE RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480933520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12640 E 12 MILE RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480933520",
"telephone_number": "586-249-7089"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MD URGENT CARE AND FAMILY MEDICINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-04",
"last_updated": "2024-03-28",
"certification_date": "2024-03-28",
"status": "A",
"authorized_official_last_name": "FLINT",
"authorized_official_first_name": "AMBER",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "586-909-7616"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "24 HR Lifeline Urgent Care & Family Medicine",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "24 HR Lifeline Urgent Care & Family Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.