Iha Health Service Corporation

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

IHA HEALTH SERVICE CORPORATION

Practice address

990 W Ann Arbor TRL Ste 200
Plymouth, MI 48170-1686

Phone

(734) 414-0874

Fax

(734) 414-0875

NPI assigned

Sep 20, 2018

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

President, Coo

Phone

(734) 327-0872

Specialties & licenses 2

Addresses

Other names 1

• IHA Associates in Podiatry Doing business as

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1356825871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DR LBBY J2000",
            "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 STE 200",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701686",
            "telephone_number": "734-414-0874",
            "fax_number": "734-414-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHA HEALTH SERVICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT, COO",
        "authorized_official_telephone_number": "734-327-0872"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IHA Associates in Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelsey Orion Hyde, MA
• Megan Reif Iacco, M.D.
• Kasey Iapalucci
• Sherif Ibrahim
• Wasif Ibrahim
• Iha Health Services Corporation
• Iha Health Services Corporation
• Iha Health Services Corporation
• Nathan Anetor Ikhitte, DPT
• Sahar Imam

• Podiatrist in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.