Active NPI
Iha Health Services Corporation
- Pediatrics Physician
- Plymouth, MI
National Provider Identifier
1124175724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- IHA HEALTH SERVICES CORPORATION
- Practice address
- 990 W Ann Arbor TRL
Suite 210
Plymouth, MI 48170-6204 - Phone
- (734) 455-4600
- NPI assigned
- Jan 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cynthia A Elliott
- Title
- VP /Cheif Operating Officer
- Phone
- (734) 747-6766
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
990 W Ann Arbor TRL
Suite 210
Plymouth, MI 48170-6204
Mailing address
24 Frank Lloyd Wright Dr
PO Box 0446 Lobby J
Ann Arbor, MI 48105-9484
Other names 1
- Child Health Associates Plymouth
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- Farmington Hills, MI
- NPI 1952663171
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- Ypsilanti, MI
- NPI 1427217074
-
- Family Medicine Physician
- Canton, MI
- NPI 1497070866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1307059200000",
"number": "1124175724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 FRANK LLOYD WRIGHT DR",
"address_2": "PO BOX 0446 LOBBY J",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "990 W ANN ARBOR TRL",
"address_2": "SUITE 210",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481706204",
"telephone_number": "734-455-4600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IHA HEALTH SERVICES CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-04",
"last_updated": "2011-06-03",
"status": "A",
"authorized_official_last_name": "ELLIOTT",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "VP /CHEIF OPERATING OFFICER",
"authorized_official_telephone_number": "734-747-6766"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Child Health Associates Plymouth",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.