Allen S Lichter, MD

Primary specialty

Therapeutic Radiology PhysicianTaxonomy code 2085R0203X

License

4301047285 Issued in MI

Practice address

1500 East Medical Center Dr
B2 Floor University Hospital RM C490
Ann Arbor, MI 48109-0010

Phone

(734) 936-4300

NPI assigned

Sep 29, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Regents of the University of Michigan

  • Specialty Pharmacy
  • Dexter, MI
  • NPI 1952181919
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053403451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST",
            "address_2": "700 KMS PLACE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48108",
            "telephone_number": "734-936-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 EAST MEDICAL CENTER DR",
            "address_2": "B2 FLOOR UNIVERSITY HOSPITAL RM C490",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481090010",
            "telephone_number": "734-936-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICHTER",
        "first_name": "ALLEN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "MI",
            "license": "4301047285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3453968",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sinead Carmel Licari, CNM
• Tracy L Licari, PA
• Keli Eileen Rulf Licata, M.A., CCC-SLP
• Sara Kaufman Licata, LMSW
• Stephen Thomas Lichtenstein, MD
• Paul R Lichter, MD
• Katelyn Tara Lichterman, MD
• Lori Lichtman, PSYD
• Samuel Lidsky
• Andrew Paul Lieberman, MD, PHD

• Therapeutic Radiology Physician in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Therapeutic Radiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.