IHA Dermatologic Surgery Associates – MOHS-Micrographic Surgery Physician, NPI 1629121256

IHA Dermatologic Surgery Associates is a healthcare provider. based in Ann arbor, Michigan. specializing in MOHS-Micrographic Surgery Physician. The NPI Number for IHA Dermatologic Surgery Associates is 1629121256

Main info

Organization
Name
IHA Dermatologic Surgery Associates
NPI
1629121256
Phone
(734) 747-6766
Address
24 FRANK LLOYD WRIGHT DR
Authorized Official
CYNTHIA A ELLIOTT VP/CHIEF OPERATING OFFICER
Enumeration Date
18 January 2007
Last Update Date
24 March 2026

Contacts

Main Contact
https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness100
Years active:19State licenses:07/7 NPPES fields on file

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Provider Addresses for IHA Dermatologic Surgery Associates

  • Domino's Farms Office Park, 24, Frank Lloyd Wright Drive, Domino Farms, Ann Arbor Charter Township, Washtenaw County, Michigan, 48105, United States

    P.O. BOX 0446, LOBBY J

    ANN ARBOR, MI 481059484

    Phone: (734) 747-6766

    Type: Mailing

  • West Clark Road, Ypsilanti, Washtenaw County, Michigan, 48198, United States

    BLDG A SUITE 200

    YPSILANTI, MI 481971149

    Phone: (734) 572-7500

    Fax: (734) 572-7777

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48105)

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Reviews

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Frequently asked questions

What unique ID ties claims to IHA Dermatologic Surgery Associates?
NPI 1629121256 is assigned to IHA Dermatologic Surgery Associates under the national enumeration system.
Is IHA Dermatologic Surgery Associates's NPI currently valid?
The extract we use shows IHA Dermatologic Surgery Associates as active.
What kind of provider is IHA Dermatologic Surgery Associates?
The page reflects MOHS-Micrographic Surgery Physician for IHA Dermatologic Surgery Associates. Clinical services aligned with this taxonomy classification.
What location metadata exists for IHA Dermatologic Surgery Associates?
The page summarizes Ann Arbor, Michigan for IHA Dermatologic Surgery Associates; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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