Organization Active NPI

MD Urgent Care and Family Medicine PLLC

  • Family Medicine Physician
  • Warren, MI
National Provider Identifier
1992571632
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Mar 28, 2024

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.