INGRID K. ICHESCO M.D. – NPI #1588890057
Pediatrics

A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

INGRID ICHESCO is a physician located in ANN ARBOR, MI. NPPES has assigned the NPI number 1588890057 to INGRID ICHESCO on June 10, 2009. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name INGRID KRAUS. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2080S0010X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Sports Medicine

The NPI profile was previously updated about 7 years ago on Oct 01, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INGRID ICHESCO below.

NPI Profile for
INGRID K. ICHESCO

NPI Number
1588890057
Enumeration Date

(more than 17 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
INGRID K. ICHESCO
Former Name: INGRID KRAUS
Credentials
M.D.
Primary location
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109-5000
Phone: (734) 936-4000 Fax:
Mailing address
3621 S STATE ST
ANN ARBOR, MI 48108-1633
Phone: (734) 647-5299 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080S0010X
- Pediatrics / Sports Medicine (Primary)
MI 4301094450
390200000X
- Student in an Organized Health Care Education/Training Program
MI 4301094450
208000000X
- Pediatrics
MI 4301094450

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.