Active NPI
Iha Health Services Corporation
Doing business as Associates in Gynecology and Obstetrics Brighton
- Obstetrics & Gynecology Physician
- Brighton, MI
National Provider Identifier
1700933314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- IHA HEALTH SERVICES CORPORATION
- Doing business as
- Associates in Gynecology and Obstetrics Brighton
- Practice address
- 2305 Genoa Business Park Drive
Suite 208
Brighton, MI 48114-9309 - Phone
- (810) 494-6896
- NPI assigned
- Jan 4, 2007
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
2305 Genoa Business Park Drive
Suite 208
Brighton, MI 48114-9309
Mailing address
24 Frank Lloyd Wright Dr
PO Box 0446, Lobby J
Ann Arbor, MI 48105-9484
Phone (734) 327-0872
Other names 1
- Associates in Gynecology and Obstetrics Brighton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040108000355 | MI | Part B Supplier - Clinic/Group Practice | 2466351440 |
Receives reassigned benefits from 1,696 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryLocations
2305 Genoa Business Park Dr
Ste 208
Brighton, MI 48114
Phone (810) 494-6896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1307059200000",
"number": "1700933314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 FRANK LLOYD WRIGHT DR",
"address_2": "PO BOX 0446, LOBBY J",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059484",
"telephone_number": "734-327-0872",
"fax_number": "734-327-6308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2305 GENOA BUSINESS PARK DRIVE",
"address_2": "SUITE 208",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481149309",
"telephone_number": "810-494-6896"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IHA HEALTH SERVICES CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-04",
"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": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Associates in Gynecology and Obstetrics Brighton",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brighton, MI
- Iha Health Services Corporation (Brighton Family Care)
- Iha Health Services Corporation (IHA Plastic & Reconstructive Surgery)
- Iha Health Services Corporation (IHA Maternal Fetal Medicine Brighton)
- Iha Health Services Corporation (IHA Livingston OB/GYN)
- Iha Health Services Corporation
- Iha Health Services Corporation (IHA Livingston Pediatrics)
- Iha Health Services Corporation (IHA East Brighton Primary Care)
- Iha Health Services Corporation (Livingston Family Medicine Center)
- Iha of Ann Arbor PC
- Iha Pharmacy Holdings LLC (IHA Family Pharmacy)
Sources for this page
- 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.