IHA DOMINO'S FARMS PRIMARY CARE
NPI 1376690883
Internal Medicine in Ann Arbor, MI
NPI Status: Active since January 05, 2007
Contact Information
4200 WHITEHALL DR STE 130
ANN ARBOR, MI
ZIP 48105
Phone: (734) 995-0303
- Organization
- Internal Medicine
- Accepts Insurance
- CLIA Number: 23D0366688
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-31-2026
About IHA DOMINO'S FARMS PRIMARY CARE
This page provides the complete NPI Profile along with additional information for Iha Domino's Farms Primary Care, an internist established in Ann Arbor, Michigan operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1376690883 assigned on January 2007. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Iha Domino's Farms Primary Care operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Iha Domino's Farms Primary Care. The authorized official of this NPI record is Cynthia A Elliott (Vp/chief Operating Officer)
- NPI
- 1376690883
- Provider Legal Name
- IHA HEALTH SERVICES CORPORATION
- Other Organization Name
- IHA DOMINO'S FARMS PRIMARY CARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4200 WHITEHALL DR STE 130 ANN ARBOR, MI 48105
- Location Phone
- (734) 995-0303
- Mailing Address
- 24 FRANK LLOYD WRIGHT DR PO BOX 0446 LOBBY J ANN ARBOR, MI 48105
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-05-2007
- Last Update Date
- 12-27-2019
- Code Navigator
An internist like Iha Domino's Farms Primary Care is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Local HMO Bronze Extra - HMO
- Blue Cross� Local HMO Bronze Secure - HMO
- Blue Cross� Local HMO Silver Extra - HMO
- Blue Cross� Local HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Select HMO Bronze Saver HSA - HMO
- Blue Cross� Select HMO Bronze Secure - HMO
- Blue Cross� Select HMO Silver - HMO
- Blue Cross� Select HMO Silver Extra - HMO
- Blue Cross� Select HMO Silver Saver - HMO
- Blue Cross� Select HMO Value - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D0366688
- Facility Type
- Physician Office
- Certificate Effective Date
- January 01, 2025
- Certificate Expiration Date
- December 31, 2026
- Laboratory Director
- AMY E. COOKE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Iha Domino's Farms Primary Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 7 | 6 | 6 | 9 | 0 | 8 | 8 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 14 | 6 | 12 | 9 | 0 | 8 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 4 + 6 + 1 + 2 + 9 + 0 + 8 + 1 + 6 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1376690883 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1265944102 | KACIE HADLEY CNP Individual | Nurse Practitioner | 4200 WHITEHALL DR STE 130 ANN ARBOR, MI 48105 (734) 995-0303 |
| 1699776377 | TENDAI THOMAS M.D. Individual | Internal Medicine | 4200 WHITEHALL DR STE 130 ANN ARBOR, MI 48105 (734) 995-0303 |
| 1609877109 | SHERRIE TEFEND M.D. Individual | Internal Medicine | 4200 WHITEHALL DR STE 130 ANN ARBOR, MI 48105 (734) 995-0303 |
| 1720481476 | SAMANTHA REIDT Individual | Physician Assistant (Medical) | 4200 WHITEHALL DR STE 130 ANN ARBOR, MI 48105 (734) 995-0303 |
| 1023305216 | DANA MARIE O'NEILL D.O. Individual | Family Medicine | 4200 WHITEHALL DR STE 130 ANN ARBOR, MI 48105 (734) 995-0303 |
| 1851933527 | MORGAN PERIAN PA-C Individual | Physician Assistant | 4200 WHITEHALL DR STE 130 ANN ARBOR, MI 48105 (734) 995-0303 |
| 1699351304 | BIANCA YALDO MD Individual | Family Medicine | 4200 WHITEHALL DR STE 130 ANN ARBOR, MI 48105 (734) 995-0303 |
| 1316736275 | AURORA ROZINE PARSONS FNP-C Individual | Nurse Practitioner (Family) | 4200 WHITEHALL DR STE 130 ANN ARBOR, MI 48105 (734) 995-0303 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376690883, enumerated in the NPI registry as an "organization" on January 05, 2007
The provider is located at 4200 Whitehall Dr Ste 130 Ann Arbor, Mi 48105 and the phone number is (734) 995-0303
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Blue Care Network of Michigan and Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 23D0366688 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on January 05, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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