| Campbell Urgent Care | |
|
1010 N Campbell Rd Suite 3 Royal Oak MI 48067-1570 | |
| (248) 850-8395 | |
| (248) 850-8495 |
| Full Name | Campbell Urgent Care |
|---|---|
| Speciality | Family Medicine |
| Location | 1010 N Campbell Rd, Royal Oak, Michigan |
| Authorized Official Name and Position | Wissam M Shaya (OWNER) |
| Authorized Official Contact | 2488508395 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Campbell Urgent Care 1010 N Campbell Rd Suite 3 Royal Oak MI 48067-1570 Ph: (248) 850-8395 | Campbell Urgent Care 1010 N Campbell Rd Suite 3 Royal Oak MI 48067-1570 Ph: (248) 850-8395 |
| NPI Number | 1285891036 |
|---|---|
| Provider Enumeration Date | 05/20/2008 |
| Last Update Date | 08/09/2010 |
| Medicare PECOS PAC ID | 5890843379 |
|---|---|
| Medicare Enrollment ID | O20090512000132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285891036 | NPI | - | NPPES |
| DQ3269 | Other | MI | RAILROAD MEDICARE |
| 080E029470 | Other | MI | BCBS GROUP |
| 080E029470 | Other | MI | BCN GROUP |
| 080F387630 | Other | MI | BCBS GROUP |
| 080F387630 | Other | MI | BCN GROUP |
| 1285891036 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301082473 (Michigan) | Primary |
| Provider Name | Yiping Maggie Zeng Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568472637 PECOS PAC ID: 8325027592 Enrollment ID: I20040720000621 |
| Provider Name | Heidi L Rohloff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679551006 PECOS PAC ID: 4183699986 Enrollment ID: I20040826000313 |
| Provider Name | Shafiqul Alam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649258021 PECOS PAC ID: 4385683689 Enrollment ID: I20050426001401 |
| Provider Name | Fadi Demashkieh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396726808 PECOS PAC ID: 7517869712 Enrollment ID: I20060301000352 |
| Provider Name | Nirmal Vellore Nandakumar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063469278 PECOS PAC ID: 4981607421 Enrollment ID: I20070529000439 |
| Provider Name | Olga Parfenov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578743886 PECOS PAC ID: 9830269455 Enrollment ID: I20080609000152 |
| Provider Name | Kenneth M Walter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013213958 PECOS PAC ID: 5193900512 Enrollment ID: I20110429000228 |
| Provider Name | Victor Samir Faris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275736936 PECOS PAC ID: 1951572270 Enrollment ID: I20110919000169 |
| Provider Name | Kenneth J Early |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154664753 PECOS PAC ID: 7911131487 Enrollment ID: I20131016001377 |
| Provider Name | Jessica Szatkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528441516 PECOS PAC ID: 0446565014 Enrollment ID: I20150812007557 |
| Provider Name | Fallon M Kapatais |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477811925 PECOS PAC ID: 0941529101 Enrollment ID: I20150826001447 |
| Provider Name | Mary G Marji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356700645 PECOS PAC ID: 9234437153 Enrollment ID: I20160411000211 |
| Provider Name | Katie Lee Coaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750825709 PECOS PAC ID: 7810279221 Enrollment ID: I20170119002217 |
| Provider Name | Lawrence Holloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376920819 PECOS PAC ID: 8224300637 Enrollment ID: I20170821000291 |
| Provider Name | Amy Lynn Squair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386160539 PECOS PAC ID: 0941575278 Enrollment ID: I20171012000370 |
| Provider Name | Stephanie Y Lim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912414756 PECOS PAC ID: 7911260484 Enrollment ID: I20180416000184 |
| Provider Name | Sabrina Vitale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699276295 PECOS PAC ID: 6507111523 Enrollment ID: I20180615000955 |
| Provider Name | Emily K Wolfrum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871083683 PECOS PAC ID: 5597010207 Enrollment ID: I20180621000787 |
| Provider Name | Hollie Gohr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942700711 PECOS PAC ID: 4880945237 Enrollment ID: I20180924001895 |
| Provider Name | Megan Dawn Parslow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144792458 PECOS PAC ID: 3476891904 Enrollment ID: I20190208000134 |
| Provider Name | Kerri Lynn Copeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821562562 PECOS PAC ID: 0446593339 Enrollment ID: I20190516000767 |
| Provider Name | Emilie Anne Wojcik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851950034 PECOS PAC ID: 1153657606 Enrollment ID: I20190723000341 |
| Provider Name | Alison Yousif |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356905962 PECOS PAC ID: 8022344597 Enrollment ID: I20190723000961 |
| Provider Name | Mariam Taleb Saleh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477903912 PECOS PAC ID: 8729316641 Enrollment ID: I20190829002707 |
| Provider Name | Marisa Soltys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649824681 PECOS PAC ID: 7416286810 Enrollment ID: I20190910003826 |
| Provider Name | Danielle Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073166534 PECOS PAC ID: 7517298946 Enrollment ID: I20191015003366 |
| Provider Name | Lauren B Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528601887 PECOS PAC ID: 2567894710 Enrollment ID: I20191109000134 |
| Provider Name | Katelyn Hawley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396301685 PECOS PAC ID: 1850726118 Enrollment ID: I20200114001796 |
| Provider Name | Timothy Dekker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538516646 PECOS PAC ID: 1557655982 Enrollment ID: I20200917003178 |
| Provider Name | Kathryn Faraj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558985564 PECOS PAC ID: 1254750490 Enrollment ID: I20201007002113 |
| Provider Name | Jessica Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992223762 PECOS PAC ID: 9931467396 Enrollment ID: I20201029002608 |
| Provider Name | Aimee Westmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184222754 PECOS PAC ID: 0941617278 Enrollment ID: I20210401001433 |
| Provider Name | Laith N Al-janabi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053817239 PECOS PAC ID: 9537418132 Enrollment ID: I20210520001067 |
| Provider Name | Rachel Ziel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568054385 PECOS PAC ID: 2961806609 Enrollment ID: I20210803002530 |
| Provider Name | Jessica Hani Nafso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912597824 PECOS PAC ID: 9436554615 Enrollment ID: I20210826000918 |
| Provider Name | Danielle Nicole Dababneh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285220095 PECOS PAC ID: 6709282551 Enrollment ID: I20210902002735 |
| Provider Name | Ryan Roland Lim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730848458 PECOS PAC ID: 8123419819 Enrollment ID: I20220107001080 |
| Provider Name | Zenobia Nah Arreytta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760146427 PECOS PAC ID: 4789078387 Enrollment ID: I20220224001944 |
| Provider Name | Aubrey Michelle Dewey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568080869 PECOS PAC ID: 2466847991 Enrollment ID: I20220321001775 |
| Provider Name | Alyona Tourlaeva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033832423 PECOS PAC ID: 7315323045 Enrollment ID: I20221004002800 |
Beaumont Professional Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-585-8271 Fax: 248-585-8266 | |
Hospital Consultants, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-691-8646 | |
Beaumont Professional Services/geriatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-423-2454 | |
Covenant Woodward Avenue Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27776 Woodward Ave, Royal Oak, MI 48067 Phone: 248-556-4900 Fax: 248-556-4950 | |
Epg Urgent Care Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26454 Woodward Ave, Suite 150, Royal Oak, MI 48067 Phone: 248-545-7210 Fax: 248-545-1023 | |
Jodi Mollica Lcsw Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 628 E Parent Ave Ste 506, Royal Oak, MI 48067 Phone: 248-321-8684 | |
Beaumont Professional Services/infectious Disease Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-423-2454 |