| Concentra Urgent Care | |
|
436 44th St Se Suite A Grand Rapids MI 49548-4371 | |
| (616) 531-9750 | |
| (616) 531-9710 |
| Full Name | Concentra Urgent Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 436 44th St Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | John R Anderson (PRESIDENT AND TREASURER) |
| Authorized Official Contact | 9723648000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Concentra Urgent Care 5080 Spectrum Dr Suite 1200 West Addison TX 75001-4648 Ph: (972) 720-7772 | Concentra Urgent Care 436 44th St Se Suite A Grand Rapids MI 49548-4371 Ph: (616) 531-9750 |
| NPI Number | 1659562262 |
|---|---|
| Provider Enumeration Date | 08/08/2007 |
| Last Update Date | 01/20/2016 |
| Medicare PECOS PAC ID | 5799886313 |
|---|---|
| Medicare Enrollment ID | O20070726000695 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659562262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Steven N Glavas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538173752 PECOS PAC ID: 4183525421 Enrollment ID: I20040119000538 |
| Provider Name | Victor R Abuel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831143239 PECOS PAC ID: 3375454226 Enrollment ID: I20040313000696 |
| Provider Name | Mohammed A Arsiwala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750380408 PECOS PAC ID: 4789669292 Enrollment ID: I20040623000378 |
| Provider Name | James W Collins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841238607 PECOS PAC ID: 1759367816 Enrollment ID: I20040629000006 |
| Provider Name | Ray Alvin Breitenbach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679541940 PECOS PAC ID: 0143284059 Enrollment ID: I20041118001127 |
| Provider Name | Linda Thomas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871532580 PECOS PAC ID: 0244279826 Enrollment ID: I20050503000619 |
| Provider Name | Gary L Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689680589 PECOS PAC ID: 0749221943 Enrollment ID: I20050518000557 |
| Provider Name | Carlin C Stockson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821036799 PECOS PAC ID: 5496788622 Enrollment ID: I20050916000844 |
| Provider Name | Tara Jeanette Caudill Deaton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154380129 PECOS PAC ID: 8729004726 Enrollment ID: I20051019000570 |
| Provider Name | Maureen L Dailey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205840782 PECOS PAC ID: 3274559075 Enrollment ID: I20051020000920 |
| Provider Name | Susan A Bidigare |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396737342 PECOS PAC ID: 6507875952 Enrollment ID: I20060412000287 |
| Provider Name | Mada H Jamil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386716280 PECOS PAC ID: 9830109198 Enrollment ID: I20060501000659 |
| Provider Name | Marie D Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487743902 PECOS PAC ID: 3577565423 Enrollment ID: I20070207000044 |
| Provider Name | Krisseda S Solomon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902920028 PECOS PAC ID: 8921105693 Enrollment ID: I20070515000448 |
| Provider Name | Deniese L Worthy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982730990 PECOS PAC ID: 4082715594 Enrollment ID: I20070727000804 |
| Provider Name | Barry I Leshman |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1205953536 PECOS PAC ID: 3577656693 Enrollment ID: I20070906000228 |
| Provider Name | Maureen B Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821083239 PECOS PAC ID: 5698868347 Enrollment ID: I20070911000593 |
| Provider Name | Andrea Breese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881716868 PECOS PAC ID: 3870583859 Enrollment ID: I20080202000001 |
| Provider Name | Peter J Wiebenga |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1225003825 PECOS PAC ID: 9234298621 Enrollment ID: I20090106000312 |
| Provider Name | Joseph A Valle |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1255478087 PECOS PAC ID: 9133279573 Enrollment ID: I20090605000494 |
| Provider Name | Padmaja Morisetty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669590626 PECOS PAC ID: 7719037738 Enrollment ID: I20090615000142 |
| Provider Name | Anna Jonascu Devine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326083700 PECOS PAC ID: 3072663921 Enrollment ID: I20090615000487 |
| Provider Name | Racquel M Brockington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205955929 PECOS PAC ID: 2567513062 Enrollment ID: I20090623000535 |
| Provider Name | David F Pommerening |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1336267301 PECOS PAC ID: 5597816009 Enrollment ID: I20090623000697 |
| Provider Name | Ellen M Coccitti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598784480 PECOS PAC ID: 5294876702 Enrollment ID: I20100106000364 |
| Provider Name | Alexandros J Samohin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811139645 PECOS PAC ID: 0749310134 Enrollment ID: I20100610001029 |
| Provider Name | Robert J Kelman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841279015 PECOS PAC ID: 6608908710 Enrollment ID: I20100723000932 |
| Provider Name | Iveta Dubravec |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1184715369 PECOS PAC ID: 7911190806 Enrollment ID: I20101025000045 |
| Provider Name | Agata M Michalczak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306810304 PECOS PAC ID: 5092997593 Enrollment ID: I20110304000093 |
| Provider Name | Jennifer Lynn Dear |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609864164 PECOS PAC ID: 0749293595 Enrollment ID: I20120203000262 |
| Provider Name | Alina Lukose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992936785 PECOS PAC ID: 7012103591 Enrollment ID: I20120510000536 |
| Provider Name | Rebeccah M Border |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104268283 PECOS PAC ID: 7012233471 Enrollment ID: I20150302000582 |
| Provider Name | Jeremy J Taliercio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992071302 PECOS PAC ID: 1557673001 Enrollment ID: I20150713000092 |
| Provider Name | Khushdeep K Rayat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477935401 PECOS PAC ID: 0143536193 Enrollment ID: I20150904002011 |
| Provider Name | Nora T Linares |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144529918 PECOS PAC ID: 4981836673 Enrollment ID: I20151005002746 |
| Provider Name | Taneesha E Ruff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174996755 PECOS PAC ID: 5193029270 Enrollment ID: I20160210001413 |
| Provider Name | Antonya D Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578954301 PECOS PAC ID: 5395062848 Enrollment ID: I20170615000880 |
| Provider Name | Vanessa Phan-dang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952821035 PECOS PAC ID: 2264703610 Enrollment ID: I20170803003156 |
| Provider Name | Alan Lee Vorst |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1316206964 PECOS PAC ID: 5799940326 Enrollment ID: I20170809000135 |
| Provider Name | Laura R Oconnor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356860506 PECOS PAC ID: 9931475126 Enrollment ID: I20171016000955 |
| Provider Name | Taisia Victoria Litvinow |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1700306693 PECOS PAC ID: 9133479793 Enrollment ID: I20180904000528 |
| Provider Name | Leonora Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033150230 PECOS PAC ID: 2961742275 Enrollment ID: I20190325001042 |
| Provider Name | Salam Saady Brikho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437612579 PECOS PAC ID: 2264766005 Enrollment ID: I20210914003632 |
| Provider Name | Mohammed Aamir Hussain |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1447813308 PECOS PAC ID: 9931435344 Enrollment ID: I20211006003092 |
| Provider Name | Cyrus Garmo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669030748 PECOS PAC ID: 9830423987 Enrollment ID: I20211115001136 |
| Provider Name | Christopher Debord |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790304798 PECOS PAC ID: 6709275209 Enrollment ID: I20211122001078 |
| Provider Name | Ace James Tacderas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447544176 PECOS PAC ID: 8224429808 Enrollment ID: I20211216000613 |
| Provider Name | Hassan Ali Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033631858 PECOS PAC ID: 2769739465 Enrollment ID: I20220118001233 |
| Provider Name | Julia Kovtsun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770077679 PECOS PAC ID: 1153678974 Enrollment ID: I20220202001923 |
| Provider Name | Brendan Comer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922595008 PECOS PAC ID: 6709134505 Enrollment ID: I20220506001177 |
| Provider Name | Laith Abdelnaser-abdelrazek Khalil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518589894 PECOS PAC ID: 6709299316 Enrollment ID: I20220629000513 |
| Provider Name | Sara Chaffee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164714390 PECOS PAC ID: 4981984945 Enrollment ID: I20220727003847 |
| Provider Name | Ariela Alonso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942883012 PECOS PAC ID: 0941681902 Enrollment ID: I20220928002540 |
| Provider Name | Brandon Saher Hana |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346816774 PECOS PAC ID: 0446651491 Enrollment ID: I20221018002429 |
| Provider Name | Mohamed Mosad Almaisari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588248280 PECOS PAC ID: 9638550619 Enrollment ID: I20230117001576 |
| Provider Name | Shivani Sadwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508430117 PECOS PAC ID: 4688055759 Enrollment ID: I20230621000129 |
| Provider Name | Pavel Medved |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124641212 PECOS PAC ID: 8426470972 Enrollment ID: I20230712004496 |
| Provider Name | Austin Chinonso Ikechi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275117988 PECOS PAC ID: 9537540604 Enrollment ID: I20230811000527 |
| Provider Name | Ryan H. Berry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922661313 PECOS PAC ID: 6709216112 Enrollment ID: I20230829000734 |
| Provider Name | Mohamad Farhat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336885151 PECOS PAC ID: 7719368885 Enrollment ID: I20231010002509 |
| Provider Name | Abhimani Wickrama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013517028 PECOS PAC ID: 7618378258 Enrollment ID: I20231026000361 |
| Provider Name | Aleyha Majeed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487228748 PECOS PAC ID: 3274985619 Enrollment ID: I20240122000955 |
| Provider Name | Zainulabideen Mahmood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588300438 PECOS PAC ID: 7517348683 Enrollment ID: I20240202000904 |
| Provider Name | Horea S Calimente |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1346822616 PECOS PAC ID: 2163828112 Enrollment ID: I20240311003573 |
| Provider Name | Roberto Desarden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184296618 PECOS PAC ID: 7214332279 Enrollment ID: I20240313002083 |
Gastroenterology Specialist Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1179 E Paris Ave Se Ste 200, Grand Rapids, MI 49546 Phone: 616-975-9100 Fax: 616-975-1161 | |
Mfb Professional Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1155 E. Paris, Ste 200, Grand Rapids, MI 49546 Phone: 616-233-3480 Fax: 616-233-3481 | |
American Current Care Of Michigan Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 933 Three Mile Road, Suite 110, Grand Rapids, MI 49544 Phone: 616-785-2619 Fax: 616-785-2623 | |
Patient One Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1740 28th St Se, Grand Rapids, MI 49508 Phone: 616-323-3999 Fax: 616-552-1618 | |
Elite Health, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Fulton St E, Suite A, Grand Rapids, MI 49503 Phone: 616-644-1423 Fax: 616-773-1291 | |
Cherry Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Cherry St Se, Grand Rapids, MI 49503 Phone: 616-965-8200 | |
Dr Asif Azeem Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1200 East Paris Ave Se, Ste 8, Grand Rapids, MI 49546 Phone: 616-942-6230 Fax: 616-942-6270 |