IHA HEALTH SERVICES CORPORATION (NPI# 1336296946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336296946 |
| Entity Type | Organization |
| Organization Name | IHA HEALTH SERVICES CORPORATION |
| Other Organization Name | HURON VALLEY CT CENTER |
| Practice Address |
4990 W Clark Rd Suite 300 Ypsilanti MI 48197-1149 |
| Mailing Address |
24 Frank Lloyd Wright Dr Po Box 0446 Lobby J Ann Arbor MI 48105-9484 |
| Practice Telephone | 7344340539 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2012-09-17 |
| Authorized Official Name | CYNTHIA A ELLIOTT (VP / CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 7347476766 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Huron Valley CT Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306497466 | Iha Health Services Corporation | Obstetrics & Gynecology | 1065 N Huron River Dr Ste 400, Ypsilanti, MI 48197-3296 | 2019-09-20 |
| 1477040343 | Iha Health Services Corporation | Orthopaedic Surgery | 14650 E Old Us Highway 12 Ste 105, Chelsea, MI 48118-1808 | 2018-04-17 |
| 1437660057 | Iha Health Services Corporation | Surgery | 5333 Mcauley Dr Rm 4016, Ypsilanti, MI 48197-1001 | 2017-10-23 |
| 1295266054 | Iha Health Services Corporation | Obstetrics & Gynecology | 14650 E Old Us Highway 12 Ste 301, Chelsea, MI 48118-1805 | 2017-03-23 |
| 1609160928 | Iha Health Services Corporation | Internal Medicine | 5301 E Huron River Dr Ste 210, Ypsilanti, MI 48197-1051 | 2011-06-03 |
| 1477600088 | Iha Health Services Corporation | Internal Medicine | 1915 Pauline Blvd, Ann Arbor, MI 48103-5001 | 2007-01-04 |
| 1164579207 | Iha Health Services Corporation | Family Medicine | 2305 Genoa Business Drive, Suite 200, Brighton, MI 48114-9309 | 2007-01-04 |
| 1154478758 | Iha Health Services Corporation | Pediatrics | 4200 Whitehall Dr Ste 230, Ann Arbor, MI 48105-9694 | 2007-01-04 |
| 1235286840 | Iha Health Services Corporation | Obstetrics & Gynecology | 4200 Whitehall Dr Ste 300, Ann Arbor, MI 48105-9694 | 2007-01-04 |
| 1730717943 | Iha Health Services Corporation | Internal Medicine | 7093 Dexter Ann Arbor Rd, Dexter, MI 48130-8568 | 2020-04-01 |
| Street Address |
4990 W CLARK RD SUITE 300 |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-1149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134124217 | Montgomery O Gillard | Dermatology | 4990 W Clark Rd, Building A, Suite 200, Ypsilanti, MI 48197-1149 | 2005-06-16 |
| 1164858221 | Iha Health Services Corporation | Dermatology | 4990 W Clark Rd, Ste 400, Ypsilanti, MI 48197-1149 | 2013-09-20 |
| 1912224841 | Eric Lee Wise | Internal Medicine | 4990 W Clark Rd, Suite 300, Ypsilanti, MI 48197-1149 | 2010-05-03 |
| 1194051003 | Iha Health Services Corporation | Clinic/Center | 4990 W Clark Rd, Suite 300, Ypsilanti, MI 48197-1149 | 2009-10-28 |
| 1366672123 | Iha of Ann Arbor PC | Radiologic Technologist | 4990 W Clark Rd, Suite 350, Ypsilanti, MI 48197-1149 | 2009-07-15 |
| 1710111075 | Iha of Ann Arbor PC | Clinic/Center | 4990 W Clark Rd, Suite 500, Ypsilanti, MI 48197-1149 | 2009-05-14 |
| 1285898155 | Hyuk C Cha | Dermatology | 4990 W Clark Rd, Ste 400, Ypsilanti, MI 48197-1149 | 2008-07-10 |
| 1477716991 | Jasmine Stannard | Internal Medicine | 4990 W Clark Rd, Suite 300, Ypsilanti, MI 48197-1149 | 2008-07-03 |
| 1033380878 | Iha Health Services Corporation | Nurse Anesthetist, Certified Registered | 4990 W Clark Rd, Suite 200, Ypsilanti, MI 48197-1149 | 2008-03-20 |
| 1235352311 | April L Marquardt | Internal Medicine | 4990 W Clark Rd, Suite 300, Ypsilanti, MI 48197-1149 | 2007-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245378686 | Michael Fatt | Radiology | 5333 Mcauley Dr, Suite 6016, Ypsilanti, MI 48197-1014 | 2007-02-01 |
| 1750346433 | Navin Bedi | Radiology | 5333 Mcauley Dr, Suite 6016, Ypsilanti, MI 48197-1014 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316284243 | Paula Kristine Maas | Radiology | 1904 Goldeneye Dr, Holland, MI 49424-6080 | 2013-01-11 |
| 1952548778 | Anthony P Kozma | Radiology | 26861 W River Rd, Grosse Ile, MI 48138-2135 | 2009-01-15 |
| 1053459529 | Sharon Cohen Siegel | Radiology | 264 Lakewood Dr, Bloomfield Hills, MI 48304-3531 | 2007-02-04 |
| 1306948989 | Donald Roger Klein | Radiology | 1299 Porters Ln, Bloomfield Hills, MI 48302-0941 | 2006-09-02 |
| 1316994213 | Anthony A Bennett M D P C | Radiology | 29777 Telegraph Rd, Southfield, MI 48034-7625 | 2006-05-27 |
| 1891747614 | Michigan State University | Radiology | 804 Service Rd # D100, East Lansing, MI 48824-7015 | 2006-05-17 |
| 1831192640 | Won B Chae | Radiology | 29829 Telegraph Rd, Ste L103, Southfield, MI 48034-1376 | 2005-05-24 |
| 1609499847 | Ron Guron | Radiology | 36475 Five Mile Rd, Livonia, MI 48154-1971 | 2020-05-21 |
| 1568020741 | Cristian Chagas | Radiology | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2019-06-03 |
| 1588923148 | Saginaw Valley Medical Imaging | Radiology | 4200 Fashion Square Blvd, Suite 1, Saginaw, MI 48603-1375 | 2012-05-16 |
| 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.