Iha Olma Specialty Services LLC
Organization Active NPI Neurological Surgery Physician · Pontiac, MI
NPI 1033899174 · NPPES record last updated Jul 27, 2023
Key facts
- NPI
- 1033899174
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurological Surgery Physician 207T00000X
- Legal business name
- IHA OLMA SPECIALTY SERVICES LLC
- Practice address
- 44555 Woodward Ave Ste 305
Pontiac, MI 48341-5035 - Phone
- (248) 858-3812
- Fax
- (248) 858-3815
- NPI assigned
- Jul 24, 2023
- Organization subpart
- No
Authorized official
- Name
- Cynthia A Elliott
- Title
- President
- Phone
- (734) 747-6766
Other NPIs on the same Medicare enrollment 5
Practitioners 50
-
Cristina Laker Alfieri, M.D.
-
Virginia Ann Allen, MSN, FNP-BC
-
Rami Arabo, MD
-
Basel Assaad, M.D
-
Ibrahim Azar, MD
-
Julia Bachler, MD
-
Andrew Biondo, DO
-
Amy L Braddock, MD
-
Jessica Braman, CNMW
-
David I Eisenstein, M.D.
-
Nicole Marie Ferlito, PA-C
-
Judie R. Goodman, DO
-
Mahmoud Hussein, ACNP
-
Monica Kay James, M.D.
-
Riam Lucy Jamil, FNP-C
-
Amy Marie Kirby, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210309002554 | MI | Part B Supplier - Clinic/Group Practice | 8426464884 |
Receives reassigned benefits from 60 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Ypsilanti, MI; Rochester Hills, MI; Pontiac, MI; Livonia, MI; Bloomfield Hills, MI; Clarkston, MI |
National Provider Directory
Locations
19000 St Joes Pkwy
Ste 340
Livonia, MI 48152
Phone (248) 338-7171
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician |
207T00000X | Yes |
Addresses
Primary practice location
44555 Woodward Ave Ste 305
Pontiac, MI 48341-5035
Mailing address
24 Frank Lloyd Wright Dr Ste J2000
Ann Arbor, MI 48105-9484
Phone (734) 747-6766
Other practice location 1
6770 Dixie Hwy Ste 202
Clarkston, MI 48346-2098
Phone (248) 858-3812
Other practice location 2
19000 St Joes Pkwy Ste 460
Livonia, MI 48152-1339
Phone (248) 858-3812
Other names
- Trinity Health IHA Medical Group Neurosurgery
Other providers in Pontiac, MI
- John Moore Hutchison
- Barbara Hyatt
- Katherine Ibach
- Zubeda Oyiza Idris-Saeed
- Mian Omar Iftikhar
- Iha Olma Specialty Services LLC
- Iha Olma Specialty Services LLC
- Iha Olma Specialty Services LLC
- Iha Ooma Primary LLC
- Sherwin P Imlay
All providers in Pontiac, MI · Neurological Surgery Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.