| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 09/14/2011 |
| Last Update Date | 05/20/2022 |
| Medicare PECOS PAC ID | 5597932525 |
|---|---|
| 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 |
|---|---|
| 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 | 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 - Internal Medicine |
| Provider Identifiers | NPI Number: 1942943477 PECOS PAC ID: 4587005913 Enrollment ID: I20240515003896 |
| Provider Name | Alexandria B Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285483669 PECOS PAC ID: 1153865290 Enrollment ID: I20240702001202 |
Endocrine And Metabolic Disorders Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2177 Auburn Rd, Shelby Twp, MI 48317 Phone: 586-737-7520 Fax: 586-737-7591 | |
Shelby Urgent Care Walk-in Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 46965 Van Dyke Ave, Shelby Twp, MI 48317 Phone: 313-948-3055 | |
Dr. Raafat Issa,md,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 47100 Schoenherr Rd, Suite E, Shelby Twp, MI 48315 Phone: 586-566-1782 Fax: 586-566-1859 | |
Shelbydale Medical Clinic, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 49221 Van Dyke Ave, Shelby Twp, MI 48317 Phone: 586-254-4860 Fax: 586-254-5844 | |
Pediatric Motorwerks Occupational Therapy, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6300 22 Mile Rd Ste 5, Shelby Twp, MI 48317 Phone: 586-330-0872 Fax: 866-630-0604 | |
Matrix Medical Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 52611 Blueridge Dr, Shelby Twp, MI 48316 Phone: 586-530-0133 Fax: 586-262-4158 |