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EDGEWOOD CLINIC
NPI 1629384144
Specialist in Saint Clair Shores, MI

Active since August 21, 2010
22790 HARPER AVE, SUITE A, SAINT CLAIR SHORES, MI 48080(586) 445-3070(586) 445-3072 Get Directions Write a Review

NPPES record last updated: January 5, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Edgewood Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDGEWOOD CLINIC (NPI 1629384144) is a healthcare organization registered as a specialist in Saint Clair Shores, Michigan and active in the NPI registry since August 2010. The organization lists Mohd S Jafri, Doctor, as its authorized official.

NPPES Registry Identity

NPI1629384144
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameEAST SIDE MEDICAL SERVICES P C
Location Address22790 HARPER AVE, SUITE ASaint Clair Shores, MI 48080-1831
Mailing Address22790 Harper Ave, Suite ASaint Clair Shores, MI 48080-1831 · (586) 445-3070 · Fax (586) 445-3072
Phone(586) 445-3070
Fax(586) 445-3072
Organization SubpartNo
Authorized OfficialMohd S JafriDoctor · (586) 445-3070
Enumeration DateAugust 21, 2010
Last NPPES UpdateJanuary 5, 2011
✔ NPI 1629384144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MI · 4301031532
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
22790 HARPER AVE, Saint Clair Shores, MI 48080
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Other Names 1

Other NameEdgewood Clinic

Other Identifiers 3

Medicaid1285498MI
Medicare PIN35002138111MI
Medicare UPINB49012MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAZEN KHALIDI MD PC
Surgery
22790 HARPER AVE, SUITE C
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 778-6060
MAZEN KHALIDI MD
Surgery
22790 HARPER AVE, SUITE C
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 778-6060
HOLISTIC HEALTH CLINIC OF GROSSE POINTE PC
Family Medicine
22790 HARPER AVE, STE C
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 944-2064
DR. DAVID JAMES SAGLIMBENE D.D.S.
Dentist (General Practice)
22790 HARPER AVE, SUITE B
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 776-0654

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East Side Medical Services P C's NPI number?

The NPI number for East Side Medical Services P C is 1629384144. It was assigned to this organization in the NPPES registry on August 21, 2010. The provider is also known as Edgewood Clinic.

Where is East Side Medical Services P C located?

East Side Medical Services P C is located at 22790 Harper Ave Suite A, Saint Clair Shores, MI 48080. The listed phone number is (586) 445-3070.

What is East Side Medical Services P C's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for East Side Medical Services P C was last updated on January 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.