Iha Health Services Corporation

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

License

4301058041 Issued in MI

Legal business name

IHA HEALTH SERVICES CORPORATION

Doing business as

IHA Maternal Fetal Medicine Brighton

Practice address

2305 Genoa Business Park Drive
Suite 230
Brighton, MI 48114

Phone

(734) 528-9125

NPI assigned

May 3, 2007

Last updated

Jun 3, 2011By 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

VP/Chief Operating Officer

Phone

(734) 747-6766

Specialties & licenses 1

Addresses

Other names 1

• IHA Maternal Fetal Medicine Brighton Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307059200000",
    "number": "1346462504",
    "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": "2305 GENOA BUSINESS PARK DRIVE",
            "address_2": "SUITE 230",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "48114",
            "telephone_number": "734-528-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHA HEALTH SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "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/CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "734-747-6766"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MI",
            "license": "4301058041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IHA Maternal Fetal Medicine Brighton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Hyslop
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• Iha Health Services Corporation (Brighton Family Care)
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• Iha Health Services Corporation (IHA Livingston OB/GYN)
• Iha Health Services Corporation
• Iha Health Services Corporation (Associates in Gynecology and Obstetrics Brighton)
• Iha Health Services Corporation (IHA Livingston Pediatrics)
• Iha Health Services Corporation (IHA East Brighton Primary Care)

• Maternal & Fetal Medicine Physician in Brighton, MI
• Providers in Brighton, MI by specialty
• Maternal & Fetal Medicine Physician in Michigan

• 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.

Verify at the official NPI Registry.