OrganizationActive
Addison Community Physician Services Association
NPI 1912066093 · Diagnostic Radiology Physician · Ypsilanti, MI
Provider details
- NPI number
- 1912066093
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joann Scripko, Patient Accounts Manager(734) 547-1174
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
- Surgical Physician Assistant363AS0400X
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
135 S Prospect St
Ypsilanti, MI 48198-7914
Phone: (734) 547-4900
Fax: (734) 547-1161
Approximate (ZIP-level) locationGet directions
Mailing address
135 S Prospect St
Ypsilanti, MI 48198-7914
Registry dates
- Enumerated
- 2006-12-06
- Last updated
- 2026-03-11
- Certified
- 2026-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.