ADDISON COMMUNITY PHYSICIANS SERVICE ASSOCIATION NPI 1912066093

NPI Information

  • NPI: 1912066093
  • Provider Name: ADDISON COMMUNITY PHYSICIANS SERVICE ASSOCIATION
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 135 S PROSPECT ST
    YPSILANTI, MI
    ZIP 48198
  • Phone: (734) 547-4900

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NPI Details

ADDISON COMMUNITY PHYSICIANS SERVICE ASSOCIATION is a diagnostic radiology radiology in Ypsilanti, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ADDISON COMMUNITY PHYSICIANS SERVICE ASSOCIATION NPI is 1912066093. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

135 S PROSPECT ST
YPSILANTI, MI
ZIP 48198-914
Phone: (734) 547-4900
Fax: (734) 547-1161

The provider's authorized official is Joann K Scripko .
The authorized official title is Patient Accounts Manager and has the following contact phone number (734) 547-1174.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 5/15/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyYes
2208600000XSurgeryNo
3363A00000XPhysician AssistantNo
4363AS0400XPhysician AssistantSurgicalNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1700H111110OTHERMICHIGANBCBS OF MI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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