Inter-Disciplinary Advantage, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

INTER-DISCIPLINARY ADVANTAGE, INC.

Practice address

2603 W Wackerly St
Suite 201
Midland, MI 48640-6903

Phone

(989) 631-1820

Fax

(989) 631-8760

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Deborah Pettyplace

Title

Executive Director

Phone

(989) 631-1820

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669691887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 W WACKERLY ST",
            "address_2": "SUITE 201",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406903",
            "telephone_number": "989-631-1820",
            "fax_number": "989-631-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 W WACKERLY ST",
            "address_2": "SUITE 201",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406903",
            "telephone_number": "989-631-1820",
            "fax_number": "989-631-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTER-DISCIPLINARY ADVANTAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETTYPLACE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "989-631-1820",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Impact Medical Supply
• Joebelle Dela Cruz Ingalla, RPT
• Alisa Inman
• Connie Inman
• James R Inman, MD
• Jennie Ireland
• Michael Ireland
• Brooke Irish, PA-C
• Joseph M Irmen, DDS
• Ira B Isaacoff, D.C.

• Home Health Agency in Midland, MI
• Providers in Midland, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.