Organization Active NPI

Veterans Affairs Ann Arbor Healthcare System

  • Oncology Clinic/Center
  • Ann Arbor, MI
National Provider Identifier
1750650008
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Clinic/CenterTaxonomy code 261QX0200X
License
4704242477 Issued in MI
Legal business name
VETERANS AFFAIRS ANN ARBOR HEALTHCARE SYSTEM
Practice address
2215 Fuller Rd
Ann Arbor, MI 48105-2303
Phone
(734) 845-5094
Fax
(734) 222-6009
NPI assigned
Dec 15, 2011
Last updated
Dec 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Authorized official

Name
Ms. Elizabeth Mathews, HUMAN RESOURCE
Title
Human Resource Specialist
Phone
(734) 845-5094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Clinic/Center 261QX0200X 4704242477 MI Primary

Addresses

Primary practice location

2215 Fuller Rd
Ann Arbor, MI 48105-2303

Mailing address

2215 Fuller Rd
Ann Arbor, MI 48105-2303
Phone (734) 845-5094

National Provider Directory

National Provider Directory

Locations

2215 Fuller Rd
Ann Arbor, MI 48105
Phone (734) 845-5290

NPI Registry JSON

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1750650008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 FULLER RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052303",
            "telephone_number": "734-845-5094",
            "fax_number": "734-222-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 FULLER RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052303",
            "telephone_number": "734-845-5094",
            "fax_number": "734-222-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERANS AFFAIRS ANN ARBOR HEALTHCARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-15",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "HUMAN RESOURCE SPECIALIST",
        "authorized_official_telephone_number": "734-845-5094",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "HUMAN RESOURCE"
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "MI",
            "license": "4704242477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.