IHA OF ANN ARBOR PC (NPI# 1134458086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134458086 |
| Entity Type | Organization |
| Organization Name | IHA OF ANN ARBOR PC |
| Other Organization Name | IHA CANTON PRIMARY CARE |
| Practice Address |
1600 S Canton Center Rd Ste 1200 Canton MI 48188-1992 |
| Mailing Address |
24 Frank Lloyd Wright Dr P.o, Box 0446, Lobby J Ann Arbor MI 48105-9484 |
| Practice Telephone | 7343987880 |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2019-12-27 |
| 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 | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| IHA Canton Family Medicine | Doing Business As Name - Organization |
| IHA Canton Primary Care | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1285864041 | Iha of Ann Arbor PC | Radiologic Technologist | 2090 Commonwealth Blvd, Suite 101, Ann Arbor, MI 48105-1580 | 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 |
1600 S CANTON CENTER RD STE 1200 |
| City | CANTON |
| State | MI |
| Zip Code | 48188-1992 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740842152 | Amber Lynne Durnil | Physician Assistant | 1600 S Canton Center Rd Ste 1200, Canton, MI 48188-1992 | 2019-07-05 |
| 1750796736 | Yujing Murray | Family Medicine | 1600 S Canton Center Rd Ste 1200, Canton, MI 48188-1992 | 2014-06-27 |
| 1124347893 | Roshani Jadia | Family Medicine | 1600 S Canton Center Rd Ste 1200, Canton, MI 48188-1992 | 2010-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766425 | Kesha Glimps | Home Health Aide | 513 Cherry Orchard, Canton, MI 48188 | 2020-09-24 |
| 1881222578 | Darlenda Knuckles | Licensed Practical Nurse | 43825 Michigan Ave, Canton, Mi 48188, Canton, MI 48188 | 2020-03-30 |
| 1023646049 | Nikeyta Catrice Evans | Licensed Practical Nurse | 43825 Michign Ave Suite 2, Canton, MI 48188 | 2020-03-27 |
| 1013473925 | Yen Do Ruiz | Pharmacist | 41460 Haggerty Circle South, Canton, MI 48188 | 2019-02-15 |
| 1366938607 | Abidi Mehdi Medical, Pllc | Internal Medicine | 44237 Michigan Avenue, Canton, MI 48188 | 2018-07-10 |
| 1720589427 | Audrey Imbur | Physical Therapist | 4111 S. Canton Center Rd, Canton, MI 48188 | 2018-02-27 |
| 1639687700 | Tanveer Hussain | Physical Therapist | 3439 Brooklyn Dr, Canton, MI 48188 | 2018-01-11 |
| 1376054833 | Cherry Hill Village Pharmacy LLC | Pharmacy | 50429 Independence St, Canton, MI 48188 | 2017-10-23 |
| 1396262101 | Enid Alexandra Moore | Social Worker | 40946 Crossbow Cir, Apt 201, Canton, MI 48188 | 2017-08-23 |
| 1922520865 | Marc Slotnick | Peer Specialist | 43825 Michigan Ave., Canton, MI 48188 | 2017-07-12 |
| Find all providers in zip 48188 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629365 | Dima Healthcare, Inc | Family Medicine | 7768 Cumming Hwy Ste 300, Canton, GA 30115-2982 | 2020-11-04 |
| 1396342606 | Kiwi Virtual Health Care Pllc | Family Medicine | 40618 Blythefield Ln, Canton, MI 48188-2251 | 2020-10-08 |
| 1417571142 | K Loor Medical LLC | Family Medicine | 1750 Marietta Hwy Ste 250, Canton, GA 30114-8388 | 2020-05-28 |
| 1336762913 | Favor Family Medical Practice | Family Medicine | 103 Mountain Brook Dr Ste 100, Canton, GA 30115-9078 | 2020-05-18 |
| 1679051213 | Edward Arthur Hill | Family Medicine | 6104 Cedar Lane Nw, Canton, OH 44708 | 2018-08-06 |
| 1073012118 | Mea Primary Care Plus LLC | Family Medicine | 112 Southlake Cir, Canton, MS 39046-5368 | 2018-02-05 |
| 1629592175 | Healthy U Academy, LLC | Family Medicine | 1226 Market Ave N, Canton, OH 44714-2604 | 2017-07-26 |
| 1629508114 | Zeinab M Makki | Family Medicine | 7330 N Canton Center Rd Ste 111, Canton, MI 48187-1538 | 2017-06-15 |
| 1366805210 | Michael Wowk | Family Medicine | 1600 S Canton Center Rd Ste 220, Canton, MI 48188-6276 | 2016-03-29 |
| 1184036832 | Courtney Weaver | Family Medicine | 15 Reinhardt College Pkwy Ste 100, Canton, GA 30114-5259 | 2014-05-29 |
| Find all providers in CANTON | ||||
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| 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.