Iha of Ann Arbor PC

Primary specialty

Radiography Radiologic TechnologistTaxonomy code 2471C3402X

Legal business name

IHA OF ANN ARBOR PC

Practice address

2090 Commonwealth Blvd
Suite 101
Ann Arbor, MI 48105-1580

Phone

(734) 995-2574

NPI assigned

Jul 15, 2009

Organization subpart

No

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

Authorized official

Name

Cynthia Elliott

Title

Chief Operating Officer

Phone

(734) 747-6766

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1285864041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DR",
            "address_2": "P.O. 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": "2090 COMMONWEALTH BLVD",
            "address_2": "SUITE 101",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051580",
            "telephone_number": "734-995-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHA OF ANN ARBOR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "734-747-6766"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Radiography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iha Health Services Corporation
• Iha Health Services Corporation
• Iha Health Services Corporation
• Iha Health Services Corporation
• Iha Health Services Corporation
• Robert William Ike, MD
• Lyna Ikharbine
• Jennifer Marie Ilacqua, MSN, ACNP-BC
• Anne-Marie M Ilgen, MSW
• Mark Andrew Ilgen, PHD

• All providers in Ann Arbor, MI
• Radiography Radiologic Technologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.

Verify at the official NPI Registry.