NPIMap

Organization Active NPI

Iha Ooma Primary LLC

Doing business as IHA Union Lake Pediatrics

  • Pediatrics Physician
  • Commerce Township, MI
National Provider Identifier
1831771401
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
IHA OOMA PRIMARY LLC
Doing business as
IHA Union Lake Pediatrics
Practice address
2630 Union Lake Rd Ste 100
Commerce Township, MI 48382-3583
Phone
(248) 360-1200
Fax
(248) 360-6182
NPI assigned
Apr 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Authorized official

Name
Cynthia A Elliott
Title
Presdient / Chief Operating Officer
Phone
(734) 327-0341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

2630 Union Lake Rd Ste 100
Commerce Township, MI 48382-3583

Mailing address

24 Frank Lloyd Wright Dr Ste J2000
Ann Arbor, MI 48105-9484

Other names 1

  • IHA Union Lake Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cobius Healthcare Solutions10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1831771401",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 UNION LAKE RD STE 100",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483823583",
            "telephone_number": "248-360-1200",
            "fax_number": "248-360-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHA OOMA PRIMARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESDIENT / CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "734-327-0341"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IHA Union Lake Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Commerce Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.