EPG URGENT CARE PLLC (NPI# 1104045384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104045384 |
| Entity Type | Organization |
| Organization Name | EPG URGENT CARE PLLC |
| Practice Address |
26454 Woodward Ave Suite 150 Royal Oak MI 48067-0969 |
| Mailing Address |
911 E 9 Mile Rd Ferndale MI 48220-1934 |
| Practice Telephone | 2485457210 |
| Practice Fax Number | 2485451023 |
| Mailing Telephone | 2485457210 |
| Mailing Fax Number | 2485453058 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2011-02-18 |
| Authorized Official Name | GREG NAMAN (CHIEF MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2485446236 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | MI | Allopathic & Osteopathic Physicians | |
| N | 208000000X | Pediatrics | MI | Allopathic & Osteopathic Physicians | |
| Y | 207R00000X | Internal Medicine | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS GROUP | 110F346760 | 01 |
| MIDWEST FACILITY # | 024655 | 01 | |
| MI | UNITED HEALTH CARE FACILITY # | 00002662456 | 01 |
| MI | 110405384 | 05 |
| Street Address |
26454 WOODWARD AVE SUITE 150 |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48067-0969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881659399 | Maureen T Cliffel | Dermatology | 26454 Woodward Ave, Ste 200, Royal Oak, MI 48067-0969 | 2006-04-18 |
| 1760935621 | Nuwell Integrated Health Pllc | Internal Medicine | 26454 Woodward Ave, Suite B, Royal Oak, MI 48067-0969 | 2016-07-27 |
| 1972849172 | Central Medical Imaging, Inc. | Clinic/Center | 26454 Woodward Ave, Royal Oak, MI 48067-0969 | 2012-12-17 |
| 1881914174 | Jeffrey Ralph Hamlin | Radiology | 26454 Woodward Ave, Royal Oak, MI 48067-0969 | 2010-06-09 |
| 1467497065 | Michigan Open Mri LLC | Specialist | 26454 Woodward Ave, Royal Oak, MI 48067-0919 | 2006-06-18 |
| 1588616536 | Michael George Khoury II | Radiology | 26454 Woodward Ave, Royal Oak, MI 48067-0919 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609072 | George Edward Khamis | Psychologist | 25600 Woodward Avenue, Suite 215, Royal Oak, MI 48067 | 2020-11-05 |
| 1205443751 | Crossover Health Medical Group | Clinic/Center | 424 E. 4th St, Suite 100, Royal Oak, MI 48067 | 2020-09-29 |
| 1750917811 | Sonia B Shah-gonzalez | Case Management | 830 E Fourth St, #1, Royal Oak, MI 48067 | 2020-03-19 |
| 1568022960 | Woodo Pharmacy LLC | Pharmacy | 909 E 11 Mile Rd, Royal Oak, MI 48067 | 2019-06-18 |
| 1093217564 | Sharon Diane Malinowski | Occupational Therapist | 4949 Coolidge Hwy Section E, Adult Neuro Ot, Royal Oak, MI 48067 | 2018-03-01 |
| 1962916569 | Nuch of Michigan Inc | Clinic/Center | 2140 E 12 Mile Rd, Royal Oak, MI 48067 | 2017-11-20 |
| 1629420179 | Christine Paige | Homeopath | 1112 Catalpa, Royal Oak, MI 48067 | 2016-07-08 |
| 1104277045 | Rppc Labs, LLC | Clinical Medical Laboratory | 26154 Woodward Ave Ste 5, Royal Oak, MI 48067 | 2016-06-22 |
| 1346606423 | Thomas Michalos | Counselor | 402 S. Lafayette, Royal Oak, MI 48067 | 2016-01-05 |
| 1508234212 | Valetta Aldridge | Registered Nurse | 28000 Woodward, Royal Oak, MI 48067 | 2015-09-11 |
| Find all providers in zip 48067 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1114583523 | Justin Armstrong | Internal Medicine | 3601 W 13 Mile Rd # Mi, Royal Oak, MI 48073-6712 | 2019-05-13 |
| 1780183186 | Md Regeneration, Pllc | Internal Medicine | 333 W 7th St Ste 100, Royal Oak, MI 48067-2510 | 2018-02-12 |
| 1356862536 | Ashley Lane Richardson | Internal Medicine | 1816 Dallas Ave, Royal Oak, MI 48067-3575 | 2017-06-28 |
| 1194179911 | Narayana Rao Gandham | Internal Medicine | 3535 W 13 Mile Rd Ste 502, Royal Oak, MI 48073-6770 | 2016-04-18 |
| 1669741575 | Benjamin Mishra | Internal Medicine | 1719 Gardenia Ave Apt 305, Royal Oak, MI 48067-2137 | 2011-12-21 |
| 1295046613 | Matthew Lawrence Ott | Internal Medicine | 3123 Coolidge Hwy, Apt. #132, Royal Oak, MI 48073-6852 | 2010-06-30 |
| 1518285451 | Jamal Abu-khaled | Internal Medicine | 3535 W 13 Mile Rd Ste 247, Royal Oak, MI 48073-6770 | 2010-05-16 |
| Find all providers in ROYAL OAK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.