Michael Ambrose, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301096193 Issued in MI

Practice address

19000 St Joes Pkwy Ste 160
Livonia, MI 48152-1478

Phone

(734) 884-5200

Fax

(734) 884-5201

NPI assigned

Jun 18, 2010

Last updated

Apr 12, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Iha Health Service Corporation

  dba IHA Livonia Pediatrics

  • Pediatrics Physician
  • Livonia, MI
  • NPI 1033794771
  NPD
• Iha Health Services Corporation

  dba Trinity Health IHA Medical Group Pediatrics

  • Pediatrics Physician
  • Ann Arbor, MI
  • NPI 1417004003
  NPD (past)

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1669793154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DR STE J2000",
            "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": "19000 ST JOES PKWY STE 160",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521478",
            "telephone_number": "734-884-5200",
            "fax_number": "734-884-5201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 McAuley Dr",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481971051",
            "country_code": "US",
            "telephone_number": "734-712-3456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMBROSE",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-18",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301096193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amaka Amakwe, DMD
• Amanda Gurny PSYD LLC
• Amanda Kopp, PSYD, PLLC (Together We Thrive Wellness, PLLC)
• Fnu Amandeep Kaur
• Jennifer Anne Amato, D.D.S.
• Amen Family Medicine PLLC
• Hussen Amen, MD
• Sam N Amer, RPH
• American Current Care of Michigan PC (Concentra Urgent Care)
• American Current Care of Michigan PC (Concentra Urgent Care)

• Pediatrics Physician in Livonia, MI
• Providers in Livonia, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.