Iha Health Services Corporation

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

IHA HEALTH SERVICES CORPORATION

Doing business as

IHA Dermatology

Practice address

4990 W Clark Rd
Ste 400
Ypsilanti, MI 48197-1149

Phone

(734) 677-3376

NPI assigned

Sep 20, 2013

Last updated

Sep 23, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cynthia A Elliott

Title

Cvo/Coo

Phone

(734) 747-6766

Specialties & licenses 1

Addresses

Other names 1

• IHA Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Khawar Aslam Chaudhry, M.D.

  • Internal Medicine Physician
  • Wayne, MI
  • NPI 1538422548
  NPD
• Kathryn Grace Michels, M.D.

  • Dermatology Physician
  • Brighton, MI
  • NPI 1275067084
  NPD
• Elizabeth J Pielsticker, MD

  • Interventional Cardiology Physician
  • Jackson, MI
  • NPI 1326015801
  NPD
• Mark Zawisa, M.D.

  • Family Medicine Physician
  • South Lyon, MI
  • NPI 1386612406
  NPD

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1164858221",
    "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",
            "telephone_number": "734-747-6766",
            "fax_number": "734-222-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4990 W CLARK RD",
            "address_2": "STE 400",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971149",
            "telephone_number": "734-677-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHA HEALTH SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-20",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CVO/COO",
        "authorized_official_telephone_number": "734-747-6766"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IHA Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dermatology Physician in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.