# IHA OOMA PRIMARY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** IHA Waterford Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255006706
- **Authorized official:** CYNTHIA A ELLIOTT (CHIEF OPERATING OFFICER / PRESIDENT)
- **Authorized official phone:** (734) 327-0872

## Contact information

- **Practice address:** 4400 HIGHLAND RD, WATERFORD, MI 48328-1222
- **Practice address phone:** (248) 618-6000
- **Practice address fax:** (248) 618-6951
- **Mailing address:** 24 FRANK LLOYD WRIGHT DR STE J2000, ANN ARBOR, MI 48105-9484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/16/2021
- **Last updated:** 03/24/2026