Active NPI
James A Siskosky, DO
- Occupational Medicine Physician
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 5101006444
- Practice address
- 4200 Whitehall Dr
Ste 150
Ann Arbor, MI 48105-9694 - Phone
- (734) 995-0308
- Fax
- (734) 995-0425
- NPI assigned
- Apr 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | 5101006444 | MI | Primary |
Addresses
Primary practice location
4200 Whitehall Dr
Ste 150
Ann Arbor, MI 48105-9694
Mailing address
24 Frank Lloyd Wright Dr
J2000
Ann Arbor, MI 48105-9484
Phone (734) 747-6766
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iha Health Services Corporation | Current | Accepting new patients | |
| Iha Health Service Corporation | Current | Accepting new patients | |
| First Choice Urgent Care PC | Current | Accepting new patients | |
| Iha Health Services Corporation | Current | Accepting new patients | |
| First Choice Medical Group PLLC | Past | Accepting new patients |
Locations
4200 Whitehall Dr
Ste 150
Ann Arbor, MI 48105
Phone (734) 995-0308
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400
2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840
128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677
23455 Michigan Ave
Ste A
Dearborn, MI 48124
Phone (734) 333-8001
31450 Ford Rd
Ste A
Garden City, MI 48135
Phone (313) 438-6094
1255 E M 36
Pinckney, MI 48169
Phone (734) 878-1000
44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700
Interoperability endpoints
- https://api.platform.athenahealth.com/20203/brand/1/csg/1/fhir/r4
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Dearborn, MI
- NPI 1629201264
-
- Obstetrics & Gynecology Physician
- Canton, MI
- NPI 1457408965
-
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1831053701
-
- Urgent Care Clinic/Center
- Ann Arbor, MI
- NPI 1992937023
-
- Primary Care Clinic/Center
- Dearborn, MI
- NPI 1750769394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426636800000",
"number": "1962523308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 FRANK LLOYD WRIGHT DR",
"address_2": "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": "4200 WHITEHALL DR",
"address_2": "STE 150",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059694",
"telephone_number": "734-995-0308",
"fax_number": "734-995-0425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SISKOSKY",
"first_name": "JAMES",
"middle_name": "A",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2015-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "MI",
"license": "5101006444",
"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 Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.