Shelby Urgent Care Pc | |
51850 Dequindre Rd Suite 1 Shelby Twp MI 48316-2806 | |
(586) 799-4082 | |
(586) 799-4083 |
Full Name | Shelby Urgent Care Pc |
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Speciality | Clinic/Center |
Location | 51850 Dequindre Rd, Shelby Twp, Michigan |
Authorized Official Name and Position | Fadi Demashkieh (OWNER/ PHYSICIAN) |
Authorized Official Contact | 2485611291 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Shelby Urgent Care Pc 51850 Dequindre Rd Suite 1 Shelby Twp MI 48316-2806 Ph: (586) 799-4082 | Shelby Urgent Care Pc 51850 Dequindre Rd Suite 1 Shelby Twp MI 48316-2806 Ph: (586) 799-4082 |
NPI Number | 1326320599 |
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Provider Enumeration Date | 09/14/2011 |
Last Update Date | 05/20/2022 |
Medicare PECOS PAC ID | 5597932525 |
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Medicare Enrollment ID | O20120116000055 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326320599 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Secondary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
Provider Name | Heidi L Rohloff |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679551006 PECOS PAC ID: 4183699986 Enrollment ID: I20040826000313 |
Provider Name | Nirmal Vellore Nandakumar |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1063469278 PECOS PAC ID: 4981607421 Enrollment ID: I20070529000439 |
Provider Name | Olga Parfenov |
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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 |
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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 | Katherine A Parish |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427360767 PECOS PAC ID: 0941438873 Enrollment ID: I20140122001051 |
Provider Name | Sara Lynn Underwood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033515697 PECOS PAC ID: 6406169002 Enrollment ID: I20150724010466 |
Provider Name | Jessica Szatkowski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528441516 PECOS PAC ID: 0446565014 Enrollment ID: I20150812007557 |
Provider Name | Deanne E Kiba |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508070475 PECOS PAC ID: 2264507425 Enrollment ID: I20160119001977 |
Provider Name | Mary G Marji |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356700645 PECOS PAC ID: 9234437153 Enrollment ID: I20160411000211 |
Provider Name | Rachelle L Stover |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518325489 PECOS PAC ID: 2567760010 Enrollment ID: I20160415001728 |
Provider Name | Stacey Cantor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962837518 PECOS PAC ID: 9830323203 Enrollment ID: I20161110000962 |
Provider Name | Katie Lee Coaster |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750825709 PECOS PAC ID: 7810279221 Enrollment ID: I20170119002217 |
Provider Name | Diane M Yirenkyi George |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952758476 PECOS PAC ID: 7315236940 Enrollment ID: I20170130001945 |
Provider Name | Grace Q Zhao |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952837403 PECOS PAC ID: 0244501674 Enrollment ID: I20170803002350 |
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 | Hollie Gohr |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942700711 PECOS PAC ID: 4880945237 Enrollment ID: I20180924001895 |
Provider Name | Alison Yousif |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356905962 PECOS PAC ID: 8022344597 Enrollment ID: I20190723000961 |
Provider Name | Andrew Damaske |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316235013 PECOS PAC ID: 6800170994 Enrollment ID: I20190730003602 |
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 | Kathryn Faraj |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558985564 PECOS PAC ID: 1254750490 Enrollment ID: I20201007002113 |
Provider Name | Aimee Westmore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184222754 PECOS PAC ID: 0941617278 Enrollment ID: I20210401001433 |
Provider Name | Rachel Ziel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568054385 PECOS PAC ID: 2961806609 Enrollment ID: I20210803002530 |
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 |
Provider Name | Maddison K Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184207276 PECOS PAC ID: 8820466337 Enrollment ID: I20221114002949 |
Provider Name | Eddy Elkassis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952053258 PECOS PAC ID: 9931578952 Enrollment ID: I20221214002732 |
Provider Name | Lauren Barber |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407289432 PECOS PAC ID: 8729306147 Enrollment ID: I20230201000795 |
Provider Name | Silvana Xhajaj |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720790116 PECOS PAC ID: 0042685372 Enrollment ID: I20230418002591 |
Provider Name | Karim Dirani |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1942943477 PECOS PAC ID: 4587005913 Enrollment ID: I20240515003896 |
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