Iha Olma Primary Care Risk Llc | |
37595 7 Mile Rd Ste 340 Livonia MI 48152-1003 | |
(734) 793-2470 | |
(734) 793-2471 |
Full Name | Iha Olma Primary Care Risk Llc |
---|---|
Speciality | Internal Medicine |
Location | 37595 7 Mile Rd Ste 340, Livonia, Michigan |
Authorized Official Name and Position | Cynthia A Elliott (PRESIDENT AND COO) |
Authorized Official Contact | 7343270341 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Iha Olma Primary Care Risk Llc 24 Frank Lloyd Wright Dr Ste J2000 Ann Arbor MI 48105-9484 Ph: (734) 327-0872 | Iha Olma Primary Care Risk Llc 37595 7 Mile Rd Ste 340 Livonia MI 48152-1003 Ph: (734) 793-2470 |
NPI Number | 1578162319 |
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Provider Enumeration Date | 10/22/2020 |
Last Update Date | 10/22/2020 |
Medicare PECOS PAC ID | 1153733324 |
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Medicare Enrollment ID | O20201211000387 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578162319 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Kathleen Dooley |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1639224280 PECOS PAC ID: 6901894658 Enrollment ID: I20040503001077 |
Provider Name | David Steinberger |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275501207 PECOS PAC ID: 4183601511 Enrollment ID: I20040709001236 |
Provider Name | Randall Sternberg |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1487617957 PECOS PAC ID: 3779561261 Enrollment ID: I20040712000223 |
Provider Name | Lisa Harston Ledoux |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821066853 PECOS PAC ID: 5395723803 Enrollment ID: I20040712000311 |
Provider Name | Robert N Israel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083688261 PECOS PAC ID: 5991749111 Enrollment ID: I20050617000313 |
Provider Name | Tejal Shah Joseph |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013995125 PECOS PAC ID: 8426062001 Enrollment ID: I20060202000878 |
Provider Name | Michael S Sanson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003817529 PECOS PAC ID: 0345230488 Enrollment ID: I20090108000458 |
Provider Name | Sherrie M Tefend |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1609877109 PECOS PAC ID: 3971593013 Enrollment ID: I20090210000217 |
Provider Name | Christine R Schloesser |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982720066 PECOS PAC ID: 6103963293 Enrollment ID: I20100929001096 |
Provider Name | Shyran J Hines-fenderson |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1699933721 PECOS PAC ID: 3274727862 Enrollment ID: I20101027001076 |
Provider Name | Jenny Phu Shih |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457511040 PECOS PAC ID: 9830386887 Enrollment ID: I20101203000272 |
Provider Name | Erin C Walton Doyle |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1427256460 PECOS PAC ID: 1951589902 Enrollment ID: I20110622000649 |
Provider Name | Barbra R Alvir |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376664813 PECOS PAC ID: 8921230111 Enrollment ID: I20140423000739 |
Provider Name | Jennifer Kuc |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912383944 PECOS PAC ID: 1658689252 Enrollment ID: I20151001000361 |
Provider Name | Sami Ahmed |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013355569 PECOS PAC ID: 6608007539 Enrollment ID: I20160729000345 |
Provider Name | Jessica Rose Haddad |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649619198 PECOS PAC ID: 0042500233 Enrollment ID: I20161004001039 |
Provider Name | Michelle Marie Klink |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225476385 PECOS PAC ID: 6709171556 Enrollment ID: I20170728002391 |
Provider Name | Rachel B Marcucci |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902167737 PECOS PAC ID: 7416251244 Enrollment ID: I20170831001671 |
Provider Name | Kayla S Garrett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447754627 PECOS PAC ID: 2769727858 Enrollment ID: I20181218001866 |
Provider Name | Alexia Stavropoulos |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225578172 PECOS PAC ID: 9638442437 Enrollment ID: I20201125000146 |
Provider Name | Jane Anne-varghese Philip |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1679929020 PECOS PAC ID: 5597056481 Enrollment ID: I20201203001728 |
Provider Name | Kimberly Colleen Snowdon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053938100 PECOS PAC ID: 7618389750 Enrollment ID: I20201215001681 |
Provider Name | Steven D Kirby |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255852976 PECOS PAC ID: 2961776505 Enrollment ID: I20210507001579 |
Provider Name | Eleni M. Scott |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841784022 PECOS PAC ID: 6204182348 Enrollment ID: I20211005002022 |
Provider Name | Candace Cooper |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912498445 PECOS PAC ID: 6800285735 Enrollment ID: I20211116001218 |
Provider Name | Anna Pierzchala |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265728802 PECOS PAC ID: 1153645437 Enrollment ID: I20211207001912 |
Provider Name | Samantha Hight |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1114663317 PECOS PAC ID: 2860879244 Enrollment ID: I20220525000287 |
Provider Name | Melissa Kalanik |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1295519262 PECOS PAC ID: 1658735022 Enrollment ID: I20230919000716 |
Provider Name | Jessica C Love |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1053975524 PECOS PAC ID: 0547594426 Enrollment ID: I20231116000816 |
Provider Name | Sarah Sheets |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1659148997 PECOS PAC ID: 1153774427 Enrollment ID: I20240202001453 |
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