Canton Urgent Care PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CANTON URGENT CARE PC

Practice address

42464 Cherry Hill Road
Canton, MI 48188

Phone

(734) 844-2296

Fax

(734) 844-3950

NPI assigned

Feb 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bassel Altantawi, MDNPI 1497797526

Title

MD Vice President

Phone

(734) 844-2296

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bassel Altantawi, MD

  • Internal Medicine Physician
  • Canton, MI
  • NPI 1497797526
  NPD (past) Authorized official
• Opada Alzohaili, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Dearborn, MI
  • NPI 1912942582

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992830863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42464 CHERRY HILL ROAD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "48188",
            "telephone_number": "734-844-2296",
            "fax_number": "734-844-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42464 CHERRY HILL ROAD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "48188",
            "telephone_number": "734-844-2296",
            "fax_number": "734-844-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON URGENT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALTANTAWI",
        "authorized_official_first_name": "BASSEL",
        "authorized_official_title_or_position": "MD VICE PRESIDENT",
        "authorized_official_telephone_number": "734-844-2296",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Canton Pharmacy Group, Inc (Cherry Oak Pharmacy)
• Canton Plymouth Family Dental PLLC (Canton Plymouth Family Dentistry)
• Canton Podiatry PLLC
• Canton Professional Services, Inc.
• Canton Specialty Pharmacy LLC (Canton Pharmacy)
• Canton Urgent Care Walk-in Clinic PC
• Gemirria Canty, REGISTERED NURSE
• Tatiana Canyon, LLMSW
• Matteo Capicchioni, MOT
• Maria Y Cardozo, MD

• Internal Medicine Physician in Canton, MI
• Providers in Canton, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.