IHA HEALTH SERVICE CORPORATION (NPI# 1326679879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326679879 |
| Entity Type | Organization |
| Organization Name | IHA HEALTH SERVICE CORPORATION |
| Practice Address |
2305 Genoa Business Park Dr Ste 120 Brighton MI 48114-7004 |
| Mailing Address |
24 Frank Lloyd Wright Dr Ste J2000 Ann Arbor MI 48105-9484 |
| Practice Telephone | 8104946881 |
| Practice Fax Number | 8104946882 |
| Mailing Telephone | 7347476766 |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2020-02-03 |
| Authorized Official Name | CYNTHIA A ELLIOTT (CHIEF OPERATING OFFICER / PRESIDENT) |
| Authorized Official Telephone | 7343270872 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| IHA Plastic & Reconstructive Surgery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386227 | Iha Health Service Corporation | Durable Medical Equipment & Medical Supplies | Iha Associates In Podiatry, 14555 Levan Road Suite 116, Livonia, MI 48154 | 2020-08-17 |
| 1063996593 | Iha Health Service Corporation | Durable Medical Equipment & Medical Supplies | 1600 S Canton Center Rd Ste 2200, Canton, MI 48188-6334 | 2018-09-20 |
| 1891842498 | Iha Health Service Corporation | Family Medicine | 10200 Dexter Pinckney Rd, Pinckney, MI 48169-8962 | 2007-01-04 |
| 1790304053 | Iha Health Service Corporation | Orthopaedic Surgery | 14555 Levan Rd Ste 116, Livonia, MI 48154-5085 | 2020-04-15 |
| 1376100073 | Iha Health Service Corporation | Family Medicine | 212 S Main St Ste A, Brooklyn, MI 49230-9114 | 2019-05-29 |
| 1447714530 | Iha Health Service Corporation | Orthopaedic Surgery | 5315 Elliott Dr Ste 301, Ypsilanti, MI 48197-8634 | 2019-01-23 |
| 1356825871 | Iha Health Service Corporation | Durable Medical Equipment & Medical Supplies | 990 W Ann Arbor Trl Ste 200, Plymouth, MI 48170-1686 | 2018-09-20 |
| 1922349307 | Iha Health Service Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5325 Elliott Dr, Suite 102, Ypsilanti, MI 48197-8633 | 2013-03-08 |
| 1669713145 | Iha Health Service Corporation | Psychiatry & Neurology | 5333 Mcauley Dr, Suite 6109, Ypsilanti, MI 48197-1014 | 2013-03-08 |
| Street Address |
2305 GENOA BUSINESS PARK DR STE 120 |
| City | BRIGHTON |
| State | MI |
| Zip Code | 48114-7004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780620039 | Mark A. Jonker | Surgery | 2305 Genoa Business Park Dr Ste 120, Brighton, MI 48114 | 2006-06-22 |
| 1104029693 | Kristoffer Bradley Sugg | Surgery | 2305 Genoa Business Park Dr Ste 120, Brighton, MI 48114-7004 | 2007-06-11 |
| 1245377837 | John Kenneth Anderson | Orthopaedic Surgery | 2305 Genoa Business Park Dr Ste 120, Brighton, MI 48114-7004 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386114866 | Key Development Center, Inc. | Counselor | 2060 Grand River Annex Suite 600, Brighton, MI 48114 | 2018-11-28 |
| 1205326873 | Montana Neurology Pllc | Psychiatry & Neurology | 2040 Grand River Anx Ste 200, Brighton, MI 48114 | 2018-05-18 |
| 1205370855 | Samantha Hawley | Contractor | 73 Perch Street, Brighton, MI 48114 | 2016-12-15 |
| 1164883633 | Kathryn Degrande Lankton | Family Medicine | 7575 Grand River Ste 210, Brighton, MI 48114 | 2016-03-11 |
| 1992110241 | Bryant Castelein | Podiatrist | 7990 Grand River Rd Ste D, Brighton, MI 48114 | 2014-06-25 |
| 1033544945 | Maria Kottke | Nurse Practitioner | 3222 Eden Trl, Brighton, MI 48114 | 2013-09-10 |
| 1720380462 | Kami Erin Bartholomew | Physical Therapy Assistant | 744 Grand River, Brighton, MI 48114 | 2010-12-01 |
| 1467779223 | Amy Hund | Psychologist | 10031 Spencer Rd, Brighton, MI 48114 | 2010-05-03 |
| 1851529978 | Mark Brian Mcintee | Physician Assistant | 7575 W. Grand River, Brighton, MI 48114 | 2009-06-26 |
| 1982865432 | Disha Kinra | Dentist | 7743 Grand River Ave Ste 202, Great Expressions Dental Centers, Brighton, MI 48114 | 2008-06-18 |
| Find all providers in zip 48114 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346686722 | Daniel Adam Lyons | Surgery | 2305 Genoa Business Park Dr Ste 200, Brighton, MI 48114-7005 | 2013-05-13 |
| 1104029693 | Kristoffer Bradley Sugg | Surgery | 2305 Genoa Business Park Dr Ste 120, Brighton, MI 48114-7004 | 2007-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629528765 | Paragon Health, P.C. | Surgery | 8175 Creekside Dr Ste 100, Portage, MI 49024-5370 | 2016-10-13 |
| 1487091989 | Trevor K O'brien | Surgery | 4110 Copper Ridge Dr Ste 242, Traverse City, MI 49684-6721 | 2013-05-24 |
| 1851689525 | Robert Moore Oneal | Surgery | 501 Onondaga St, Ann Arbor, MI 48104-2606 | 2011-07-15 |
| 1902072952 | Michigan Cosmetic & Reconstructive Surgery Pllc | Surgery | 29110 Inkster Rd, Ste 250, Southfield, MI 48034-1098 | 2008-04-30 |
| 1518184175 | Halil Ibrahim Canter | Surgery | 16001 West 9 Mile Rd., 3 Fl Fischer Ctr Providence Hosp. Craniofacial Inst., Southfield, MI 48075 | 2007-04-18 |
| 1285756148 | Andrea Emma Van Pelt | Surgery | 4070 Lake Drive Se, Suite 202, Grand Rapids, MI 49546 | 2007-04-04 |
| 1083741367 | Kenneth Wolf | Surgery | 1990 Union Lake Rd Ste 200, Commerce Township, MI 48382-2200 | 2007-02-27 |
| 1972630259 | Lauran Bryan | Surgery | 26711 Woodward Ave Ste Ll1, Huntington Woods, MI 48070-1370 | 2007-02-27 |
| 1689761439 | John J Iacobucci | Surgery | 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503-2537 | 2006-10-05 |
| 1710996319 | Ewa D Komorowska-timek | Surgery | 3855 Burton St Se Ste A, Grand Rapids, MI 49546-5816 | 2006-08-05 |
| Find all providers with the same taxonomy | ||||
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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.