Shelby Urgent Care Walk-in Clinic | |
46965 Van Dyke Ave Shelby Twp MI 48317 | |
(313) 948-3055 | |
Not Available |
Full Name | Shelby Urgent Care Walk-in Clinic |
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Speciality | Family Medicine |
Location | 46965 Van Dyke Ave, Shelby Twp, Michigan |
Authorized Official Name and Position | Zahoorul Hassan (CEO) |
Authorized Official Contact | 3139483030 |
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 Walk-in Clinic 46965 Van Dyke Ave Shelby Twp MI 48317 Ph: () - | Shelby Urgent Care Walk-in Clinic 46965 Van Dyke Ave Shelby Twp MI 48317 Ph: (313) 948-3055 |
NPI Number | 1285155119 |
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Provider Enumeration Date | 06/30/2017 |
Last Update Date | 02/12/2021 |
Medicare PECOS PAC ID | 6800155417 |
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Medicare Enrollment ID | O20180104001566 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285155119 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Zahoorul Hassan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033341060 PECOS PAC ID: 7214184159 Enrollment ID: I20120828000265 |
Provider Name | Nicole Ann Gagliardi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164898722 PECOS PAC ID: 6305146457 Enrollment ID: I20151123001011 |
Provider Name | Noelle Marie Maude |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275062184 PECOS PAC ID: 2668740770 Enrollment ID: I20170614000730 |
Provider Name | Mary Krikor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891217873 PECOS PAC ID: 5597023648 Enrollment ID: I20171218002888 |
Provider Name | Nichole F Patrick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972016913 PECOS PAC ID: 1759640022 Enrollment ID: I20180111002104 |
Provider Name | Ashley Hoff |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720591720 PECOS PAC ID: 1951663160 Enrollment ID: I20180328002589 |
Provider Name | Sabrina Vitale |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699276295 PECOS PAC ID: 6507111523 Enrollment ID: I20180615000955 |
Provider Name | Kimberly L Traver |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457821084 PECOS PAC ID: 3173868445 Enrollment ID: I20181215000108 |
Provider Name | Astasia C Goodenough |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669940409 PECOS PAC ID: 9436497617 Enrollment ID: I20190213002119 |
Provider Name | Alison Yousif |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356905962 PECOS PAC ID: 8022344597 Enrollment ID: I20190723000961 |
Provider Name | Mary Kirk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184190696 PECOS PAC ID: 6800122656 Enrollment ID: I20190731002765 |
Provider Name | Kevin L Cischke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467929927 PECOS PAC ID: 7113268228 Enrollment ID: I20190829003220 |
Provider Name | Kathleen Lewis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053963611 PECOS PAC ID: 1355671447 Enrollment ID: I20191003000858 |
Provider Name | Megan Dara |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467007989 PECOS PAC ID: 5799016242 Enrollment ID: I20191014003014 |
Provider Name | Caitlin Elizabeth Breitmeyer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609425149 PECOS PAC ID: 6103158019 Enrollment ID: I20191025001973 |
Provider Name | Tamer M Elfallal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144871773 PECOS PAC ID: 5496087322 Enrollment ID: I20191026000103 |
Provider Name | Lauren B Bauer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528601887 PECOS PAC ID: 2567894710 Enrollment ID: I20191109000134 |
Provider Name | Jennifer Ferguson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427343789 PECOS PAC ID: 3072945070 Enrollment ID: I20191113000811 |
Provider Name | Nadia A Hanna |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255985602 PECOS PAC ID: 7618300799 Enrollment ID: I20191203002091 |
Provider Name | Sarah Fitzpatrick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164062105 PECOS PAC ID: 6608203013 Enrollment ID: I20200225001424 |
Provider Name | Court'nee Desmond |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942849856 PECOS PAC ID: 6608203583 Enrollment ID: I20200305002628 |
Provider Name | Shanna Vanpelt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790316834 PECOS PAC ID: 4880022243 Enrollment ID: I20200317002762 |
Provider Name | Elzbieta Wisniewski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679134563 PECOS PAC ID: 3072942986 Enrollment ID: I20200327002451 |
Provider Name | Timothy Pierce |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922631258 PECOS PAC ID: 6901235779 Enrollment ID: I20200330001777 |
Provider Name | Elizabeta Zlojutro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346889185 PECOS PAC ID: 4981033776 Enrollment ID: I20200330002490 |
Provider Name | Lauren Yanalunas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407493935 PECOS PAC ID: 5496184228 Enrollment ID: I20200331000252 |
Provider Name | Stephanie Abray |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033741178 PECOS PAC ID: 9739518564 Enrollment ID: I20200331000352 |
Provider Name | Courtney Young |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043844574 PECOS PAC ID: 0446689699 Enrollment ID: I20200409000504 |
Provider Name | Daniel Masserang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790301109 PECOS PAC ID: 7911320429 Enrollment ID: I20200630002683 |
Provider Name | Cortney L Marrone |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467077735 PECOS PAC ID: 7315360823 Enrollment ID: I20200630002931 |
Provider Name | Shannon M Laino |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295374635 PECOS PAC ID: 8022433812 Enrollment ID: I20200729000213 |
Provider Name | Stefanie Slate |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558759852 PECOS PAC ID: 6901104025 Enrollment ID: I20200805000193 |
Provider Name | Jaclyn R Cominotto |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003475864 PECOS PAC ID: 7315274115 Enrollment ID: I20200805002021 |
Provider Name | Majlinda Meci |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801406681 PECOS PAC ID: 2466879135 Enrollment ID: I20200826000939 |
Provider Name | Ermira Dinkollari |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710592712 PECOS PAC ID: 4981023504 Enrollment ID: I20201001001223 |
Provider Name | Elyse Caroline Van Ittersum |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730795485 PECOS PAC ID: 9335568963 Enrollment ID: I20201001001281 |
Provider Name | Christina Bradley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912514860 PECOS PAC ID: 4587083902 Enrollment ID: I20201002001924 |
Provider Name | Lisa Swatowski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194331769 PECOS PAC ID: 2567882897 Enrollment ID: I20201026001494 |
Provider Name | Ashley D Crandell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780294264 PECOS PAC ID: 9234549874 Enrollment ID: I20201110001128 |
Provider Name | Stephanie A Bonelli |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821647108 PECOS PAC ID: 7517299423 Enrollment ID: I20210824000705 |
Provider Name | Erica Jean Roehrig |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609547116 PECOS PAC ID: 0749688927 Enrollment ID: I20211004000893 |
Provider Name | Kristina Knechtl |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205428000 PECOS PAC ID: 2769871524 Enrollment ID: I20211116002787 |
Provider Name | Jessica Senopole |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942807441 PECOS PAC ID: 6103216411 Enrollment ID: I20211130002743 |
Provider Name | Kacie Humiecki |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417616822 PECOS PAC ID: 0345631677 Enrollment ID: I20211222000137 |
Provider Name | Shannon Cousineau |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588280663 PECOS PAC ID: 6608267778 Enrollment ID: I20211228000695 |
Provider Name | Christina Petrucci |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487271367 PECOS PAC ID: 0648661421 Enrollment ID: I20220105002144 |
Provider Name | Morgan Schalm |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710508114 PECOS PAC ID: 3678966595 Enrollment ID: I20220216002479 |
Provider Name | Sarah Endlein |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215689047 PECOS PAC ID: 1850785494 Enrollment ID: I20220225000200 |
Provider Name | Marcus Macdonald |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194471763 PECOS PAC ID: 3577957943 Enrollment ID: I20220301000573 |
Provider Name | Charles Moran |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205506037 PECOS PAC ID: 3274928692 Enrollment ID: I20220322002962 |
Provider Name | Glynda Oxender |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619612272 PECOS PAC ID: 8325425572 Enrollment ID: I20220510000807 |
Provider Name | Nikki Miljan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821754912 PECOS PAC ID: 4082092895 Enrollment ID: I20220607003256 |
Provider Name | Angela Rosalie Bucci |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821721838 PECOS PAC ID: 6608258207 Enrollment ID: I20220728003001 |
Provider Name | Sarah Barber |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154063782 PECOS PAC ID: 9032591946 Enrollment ID: I20220809000363 |
Provider Name | Tiffany Slaughterbeck |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992426860 PECOS PAC ID: 7810372885 Enrollment ID: I20220913000900 |
Provider Name | Ashly Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285356394 PECOS PAC ID: 3779969803 Enrollment ID: I20220928000996 |
Provider Name | Tamera Kajy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801516141 PECOS PAC ID: 5092181396 Enrollment ID: I20221011001782 |
Provider Name | Megan Mazurek |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770200552 PECOS PAC ID: 9830567312 Enrollment ID: I20221115002609 |
Provider Name | Melonie Alverson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801504766 PECOS PAC ID: 1153799119 Enrollment ID: I20221122002379 |
Provider Name | Catherine Yutzy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831505833 PECOS PAC ID: 6709256845 Enrollment ID: I20230105001466 |
Provider Name | Briana Sims |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609581842 PECOS PAC ID: 7214309855 Enrollment ID: I20230208002263 |
Provider Name | Alissa Lumetta |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457920126 PECOS PAC ID: 7214309558 Enrollment ID: I20230214001551 |
Provider Name | Tara Guertin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932816717 PECOS PAC ID: 4688047699 Enrollment ID: I20230222000898 |
Provider Name | Kristin Mcgrail |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881395903 PECOS PAC ID: 9638544166 Enrollment ID: I20230414000109 |
Provider Name | Emily Boster |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508553306 PECOS PAC ID: 8820453384 Enrollment ID: I20230505000826 |
Provider Name | Paige Lange |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679267009 PECOS PAC ID: 4082072509 Enrollment ID: I20230615001040 |
Provider Name | Samantha Rosso |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336823368 PECOS PAC ID: 0244690964 Enrollment ID: I20230713000692 |
Provider Name | Ashley Nichole Poulos |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326726233 PECOS PAC ID: 2365802253 Enrollment ID: I20230725000543 |
Provider Name | Whitney Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609550037 PECOS PAC ID: 2961865084 Enrollment ID: I20230822004110 |
Provider Name | Katherine Morris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235881483 PECOS PAC ID: 2466815543 Enrollment ID: I20230823002342 |
Provider Name | Kayla Hawthorne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063291730 PECOS PAC ID: 4981048550 Enrollment ID: I20240222001454 |
Provider Name | Alana Haas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063268829 PECOS PAC ID: 9133560782 Enrollment ID: I20240514000614 |
Provider Name | Emily Linville |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659085033 PECOS PAC ID: 5193167369 Enrollment ID: I20240521000672 |
Provider Name | Ellen Shafer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851094940 PECOS PAC ID: 7416399142 Enrollment ID: I20240528001293 |
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