| Adrian Urgent Care PLLC | |
|
715 N Main St Adrian MI 49221-2151 | |
| (248) 957-7999 | |
| (248) 957-7997 |
| Full Name | Adrian Urgent Care PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 715 N Main St, Adrian, Michigan |
| Authorized Official Name and Position | Farah Iftikhar (PRESIDENT) |
| Authorized Official Contact | 2489577999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adrian Urgent Care PLLC 2692 Solutions Center Dr Chicago IL 60677-0001 Ph: (248) 957-7999 | Adrian Urgent Care PLLC 715 N Main St Adrian MI 49221-2151 Ph: (248) 957-7999 |
| NPI Number | 1003204769 |
|---|---|
| Provider Enumeration Date | 01/05/2015 |
| Last Update Date | 10/17/2023 |
| Certification Date | 10/17/2023 |
| Medicare PECOS PAC ID | 5193045425 |
|---|---|
| Medicare Enrollment ID | O20150527002240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003204769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301063833 (Michigan) | Primary |
| 207R00000X | Internal Medicine | 4301063833 (Michigan) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | () | Secondary |
| Provider Name | Farah Iftikhar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376542035 PECOS PAC ID: 1052396561 Enrollment ID: I20040623000290 |
| Provider Name | Laurie a Barkway |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003870031 PECOS PAC ID: 9133195506 Enrollment ID: I20040907001289 |
| Provider Name | Brian J Mckeon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356397632 PECOS PAC ID: 9335190685 Enrollment ID: I20050203000971 |
| Provider Name | Padmaja R Mouli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821102633 PECOS PAC ID: 3971555855 Enrollment ID: I20050221000008 |
| Provider Name | Ali M Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306890405 PECOS PAC ID: 0244325512 Enrollment ID: I20071002000039 |
| Provider Name | Chong U Yi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366641573 PECOS PAC ID: 0244328169 Enrollment ID: I20071109000620 |
| Provider Name | Leonor M Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366753949 PECOS PAC ID: 2062607526 Enrollment ID: I20101109001528 |
| Provider Name | Shawn R Gerrity |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043596760 PECOS PAC ID: 0042473258 Enrollment ID: I20120529000135 |
| Provider Name | Daniel Liendo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215297635 PECOS PAC ID: 8224292503 Enrollment ID: I20120618000422 |
| Provider Name | Arshia Akram |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982894317 PECOS PAC ID: 8729225883 Enrollment ID: I20130508000410 |
| Provider Name | Vijay Singh Saini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043544810 PECOS PAC ID: 2466693494 Enrollment ID: I20130802000123 |
| Provider Name | Ayaz Ahamed |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801199971 PECOS PAC ID: 8224227970 Enrollment ID: I20130808000467 |
| Provider Name | Calder B Conner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770537433 PECOS PAC ID: 1052327095 Enrollment ID: I20130824000236 |
| Provider Name | Victoria a Latocki |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558369835 PECOS PAC ID: 9931243300 Enrollment ID: I20140306001904 |
| Provider Name | Babar Azeem Qadri |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285908129 PECOS PAC ID: 1658592191 Enrollment ID: I20141024002120 |
| Provider Name | Katilyn Hess |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700248176 PECOS PAC ID: 5092014134 Enrollment ID: I20160425001290 |
| Provider Name | Robert T Bowen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699066241 PECOS PAC ID: 4082997606 Enrollment ID: I20170206001731 |
| Provider Name | Christofer J Edwards |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255627006 PECOS PAC ID: 1951573278 Enrollment ID: I20171214000781 |
| Provider Name | Sadie a Deckard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831698729 PECOS PAC ID: 9830449198 Enrollment ID: I20190319000945 |
| Provider Name | Jennifer Mcardle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548540057 PECOS PAC ID: 4183897705 Enrollment ID: I20200805000209 |
| Provider Name | Lori Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154890085 PECOS PAC ID: 5092115022 Enrollment ID: I20210614002005 |
| Provider Name | William Kenneth Burckhard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477592624 PECOS PAC ID: 4981616240 Enrollment ID: I20230203000120 |
| Provider Name | Kathie Ann Pereira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871292151 PECOS PAC ID: 5294186102 Enrollment ID: I20240104002899 |
| Provider Name | Connor S Mentzer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063273209 PECOS PAC ID: 5991234577 Enrollment ID: I20250128000916 |
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