IHA OF ANN ARBOR PC (NPI# 1285864041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285864041 |
| Entity Type | Organization |
| Organization Name | IHA OF ANN ARBOR PC |
| Practice Address |
2090 Commonwealth Blvd Suite 101 Ann Arbor MI 48105-1580 |
| Mailing Address |
24 Frank Lloyd Wright Dr P.o. Box 0446, Lobby J Ann Arbor MI 48105-9484 |
| Practice Telephone | 7349952574 |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2009-07-15 |
| Authorized Official Name | CYNTHIA ELLIOTT (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 7347476766 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649592767 | Iha of Ann Arbor PC | Clinic/Center | 4936 W Clark Rd Ste 100, Ypsilanti, MI 48197-0861 | 2010-02-16 |
| 1134458086 | Iha of Ann Arbor PC | Family Medicine | 1600 S Canton Center Rd Ste 1200, Canton, MI 48188-1992 | 2009-12-23 |
| 1366672123 | Iha of Ann Arbor PC | Radiologic Technologist | 4990 W Clark Rd, Suite 350, Ypsilanti, MI 48197-1149 | 2009-07-15 |
| 1831329697 | Iha of Ann Arbor PC | Radiologic Technologist | 2305 Genoa Business Park Dr, Suite 250, Brighton, MI 48114-7004 | 2009-07-15 |
| 1194955955 | Iha of Ann Arbor PC | Radiologic Technologist | 49650 Cherry Hill Rd, Suite 100, Canton, MI 48187-4849 | 2009-07-15 |
| 1710111075 | Iha of Ann Arbor PC | Clinic/Center | 4990 W Clark Rd, Suite 500, Ypsilanti, MI 48197-1149 | 2009-05-14 |
| Street Address |
2090 COMMONWEALTH BLVD SUITE 101 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48105-1580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033186770 | Karl Brenner | Internal Medicine | 2090 Commonwealth Blvd, Ann Arbor, MI 48105-1580 | 2006-03-01 |
| 1831358845 | Tina Cherian Chakko | Family Medicine | 2090 Commonwealth Blvd, Ann Arbor, MI 48105-1580 | 2008-06-04 |
| 1013194307 | Iha Health Services Corporation | Clinic/Center | 2090 Commonwealth Blvd, Suite 100, Ann Arbor, MI 48105-1580 | 2008-01-29 |
| 1598865164 | Julia M Gargan Kozma | Nurse Practitioner | 2090 Commonwealth Blvd, Ann Arbor, MI 48105-1580 | 2006-09-24 |
| 1699886127 | David Winston | Internal Medicine | 2090 Commonwealth Blvd, Ann Arbor, MI 48105-1580 | 2006-08-31 |
| 1184636904 | Hina Papo | Internal Medicine | 2090 Commonwealth Blvd, Ann Arbor, MI 48105-1580 | 2006-08-12 |
| 1336150655 | Mary B Durfee | Internal Medicine | 2090 Commonwealth Blvd, Ann Arbor, MI 48105-1580 | 2006-08-11 |
| 1083682116 | Sharon Smith | Internal Medicine | 2090 Commonwealth Blvd, Ann Arbor, MI 48105-1580 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
| 1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
| 1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
| 1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
| 1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
| Find all providers in zip 48105 | ||||
| Taxonomy Code | 2471C3402X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Radiography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215178249 | Deborah Jean Burgin | Radiologic Technologist | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2009-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669739348 | Karen Branstrom | Radiologic Technologist | 12210 Friday Q.1 Rd, Rapid River, MI 49878-9782 | 2012-04-18 |
| 1871795369 | Christine Ann Wiswell | Radiologic Technologist | 3400 Briar Hl, Fruitport, MI 49415-9647 | 2007-06-05 |
| 1811935315 | Michigan Diagnostic Services, Inc | Radiologic Technologist | 6431 Inkster Rd, Ste 120, Bloomfield Hills, MI 48301-1310 | 2006-06-04 |
| 1952961708 | Easy Imaging LLC | Radiologic Technologist | 16100 19 Mile Rd Ste X, Clinton Township, MI 48038-1148 | 2019-06-14 |
| 1154704948 | Great Lakes Radiology Pllc | Radiologic Technologist | 461 West Huron, Pontiac, MI 48341 | 2015-06-30 |
| 1972991446 | Stacy Stephenson | Radiologic Technologist | 38777 6 Mile Rd Ste 209, Livonia, MI 48152-2660 | 2015-01-06 |
| 1194955955 | Iha of Ann Arbor PC | Radiologic Technologist | 49650 Cherry Hill Rd, Suite 100, Canton, MI 48187-4849 | 2009-07-15 |
| 1003084468 | Michigan Diagnostic Services, Inc | Radiologic Technologist | 6431 Inkster Rd, Ste 120, Bloomfield Hills, MI 48301-1310 | 2008-02-19 |
Please comment or provide details below to improve the information on IHA OF ANN ARBOR PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.