Active NPI
Iha Health Services Corporation
- Obstetrics & Gynecology Physician
- Plymouth, MI
National Provider Identifier
1992852503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- IHA HEALTH SERVICES CORPORATION
- Practice address
- 990 W Ann Arbor TRL
Suite 302
Plymouth, MI 48170-6204 - Phone
- (734) 414-1090
- 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
990 W Ann Arbor TRL
Suite 302
Plymouth, MI 48170-6204
Mailing address
24 Frank Lloyd Wright Dr
PO Box 0446 Lobby J
Ann Arbor, MI 48105-9484
Other names 1
- Ann Arbor OBGyn Associates Plymouth
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 DirectoryNPI 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": "1301443200000",
"number": "1992852503",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "990 W ANN ARBOR TRL",
"address_2": "SUITE 302",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481706204",
"telephone_number": "734-414-1090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IHA HEALTH SERVICES CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-04",
"last_updated": "2011-03-30",
"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": "Ann Arbor OBGyn Associates Plymouth",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.