ANN ARBOR VAMC (NPI# 1417345398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417345398 |
| Entity Type | Organization |
| Organization Name | ANN ARBOR VAMC |
| Other Organization Name | ANN ARBOR VA OOS |
| Practice Address |
3800 Packard St Suite 120 and 130 Ann Arbor MI 48108-2073 |
| Mailing Address |
Po Box 5268 Madison WI 53705-0268 |
| Practice Telephone | 6088217200 |
| Mailing Telephone | 6088217200 |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2014-12-31 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ANN ARBOR VA OOS | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043722325 | Ann Arbor Vamc | Clinic/Center | 2500 Green Rd Ste 200, Ann Arbor, MI 48105-1573 | 2017-10-26 |
| 1245283126 | Ann Arbor Vamc | Clinic/Center | G-2360 South Linden Rd, Flint, MI 48532-3615 | 2006-05-19 |
| 1235322280 | Ann Arbor Vamc | Department of Veterans Affairs (VA) Pharmacy | 1200 S Detroit Ave, Toledo, OH 43614-5903 | 2007-08-23 |
| 1497795868 | Ann Arbor Vamc | Clinic/Center | 1200 S Detroit Ave, Toledo, OH 43614-5903 | 2006-06-07 |
| 1912952094 | Ann Arbor Vamc | Clinic/Center | 4328 Page Ave, Michigan Center, MI 49254-1077 | 2006-05-24 |
| 1659321701 | Ann Arbor Vamc | General Acute Care Hospital | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2006-05-11 |
| 1821055906 | Ann Arbor Vamc | Department of Veterans Affairs (VA) Pharmacy | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2006-05-01 |
| Street Address |
3800 PACKARD ST SUITE 120 AND 130 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48108-2073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730265364 | Elmer Wayne Byrum | Social Worker | 3800 Packard St, Suite 120, Ann Arbor, MI 48108-2073 | 2006-10-27 |
| 1619515806 | William J Cummins | Counselor | 3800 Packard St, Ann Arbor, MI 48108-2073 | 2019-12-18 |
| 1598235483 | Sarah Emeritz | Social Worker | 3800 Packard St, Ann Arbor, MI 48108-2073 | 2018-12-04 |
| 1770930257 | Jennifer S King | Social Worker | 3800 Packard St, Ann Arbor, MI 48108-2073 | 2016-05-16 |
| 1467807834 | Melissa Ontko | Social Worker | 3800 Packard St, Suite 160, Ann Arbor, MI 48108-2073 | 2016-05-04 |
| 1275952095 | Stacey L Fleszar | Counselor | 3800 Packard St, Suite 210, Ann Arbor, MI 48108-2073 | 2014-04-09 |
| 1588005730 | Julie Dolinger Cushman | Social Worker | 3800 Packard St, Ste 210, Ann Arbor, MI 48108-2073 | 2013-07-16 |
| 1255589412 | Anne Drake | Counselor | 3800 Packard St, Ann Arbor, MI 48108-2073 | 2008-08-29 |
| 1275790354 | David Grillo | Social Worker | 3800 Packard St, Ste. 120, Ann Arbor, MI 48108-2073 | 2008-05-17 |
| 1295863033 | Kimberly Joy Marker | Registered Nurse | 3800 Packard St, Ann Arbor, MI 48108 | 2007-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999249 | Creating Brighter Futures | Behavioral Analyst | 4201 Varsity Drive, Ste. C, Ann Arbor, MI 48108 | 2020-07-21 |
| 1326506320 | Michelle Bishop | Behavior Technician | 4935 Birch Hollow Dr, Ann Arbor, MI 48108 | 2019-03-08 |
| 1407326077 | Alexis Ewald | Behavior Technician | 2770 Carpenter Rd., Ann Arbor, MI 48108 | 2018-11-27 |
| 1003308511 | Ann Arbor Dental Specialists | Dentist | 3100 Eisenhower Parkway, Suite 200, Ann Arbor, MI 48108 | 2018-05-31 |
| 1144719295 | Jonathan Parker Etter | Physical Medicine & Rehabilitation | 325 E. Eisenhower, Suite 300, Spc 5744, Ann Arbor, MI 48108 | 2018-05-04 |
| 1427555895 | Blossom Health Services LLC | Social Worker | 2156 Glencoe Hills Dr Apt 12, Ann Arbor, MI 48108 | 2018-04-11 |
| 1669974580 | Camron Anthony Moorehead | Occupational Therapist | 400 E. Eisenhower Parkway Bldg 2, Ste A, Ann Arbor, MI 48108 | 2018-03-07 |
| 1396247862 | Crystal Ann D'agostino | Health Educator | 1169 Oak Valley Drive, Ann Arbor, MI 48108 | 2018-03-01 |
| 1538671250 | Miea Moon | Psychologist | 3200 E Eisenhower Parkway, Moriah Hall, Ann Arbor, MI 48108 | 2017-11-03 |
| 1003355546 | Rachael Connolly | Behavior Technician | 4201 Varsity Drive Suite C, Ann Arbor, MI 48108 | 2017-02-16 |
| Find all providers in zip 48108 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043722325 | Ann Arbor Vamc | Clinic/Center | 2500 Green Rd Ste 200, Ann Arbor, MI 48105-1573 | 2017-10-26 |
| 1730512161 | Va Ann Arbor Health Care System | Clinic/Center | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2013-08-21 |
| 1306922968 | Va Medical Center | Clinic/Center | 2215 Fuller Rd, Ann Arbor, MI 48105-2335 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134693500 | Duraid Hadi | Clinic/Center | 29650 Newberry Ct, Farmington Hills, MI 48331-1643 | 2019-01-18 |
| 1538520028 | Saginaw Vamc | Clinic/Center | 880 Munson Avenue, Traverse City, MI 49686-3661 | 2016-03-11 |
| 1497143374 | Detroit Vamc | Clinic/Center | 301 Piquette Street, Detroit, MI 48202-3513 | 2014-12-31 |
| 1114334174 | Iron Mountain Vamc | Clinic/Center | 813 East Lakeshore Drive, Manistique, MI 49854-1683 | 2014-07-22 |
| 1326329962 | Saginaw Vamc | Clinic/Center | 14540 N Mackinaw Hwy, Mackinaw City, MI 49701-9507 | 2011-09-08 |
| 1194010173 | Saginaw Vamc | Clinic/Center | 1909 North Mitchell St, Cadillac, MI 49601-1139 | 2011-06-17 |
| 1720028319 | Iron Mountain Vamc | Clinic/Center | 629 W Cloverland Dr, Suite 1, Ironwood, MI 49938-1006 | 2006-06-08 |
| 1649218058 | Battle Creek Vamc | Clinic/Center | 5000 Hakes Drive, Muskegon, MI 49441-5574 | 2006-06-04 |
| 1588602254 | Iron Mountain Vamc | Clinic/Center | 509 Osborn Blvd Ste 306, Sault Sainte Marie, MI 49783-2071 | 2006-06-03 |
| 1952357865 | Battle Creek Vamc | Clinic/Center | 2025 S Washington Ave, Lansing, MI 48910-0828 | 2006-05-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ANN ARBOR VAMC.
| 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.