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LAKE HURON OB GYN PLLC
NPI 1013095173
Obstetrics & Gynecology in Bad Axe, MI

Active since November 02, 2006
1005 S VAN DYKE RD, BAD AXE, MI 48413(989) 269-3923(989) 269-3983 Get Directions Write a Review

NPPES record last updated: April 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Huron Ob Gyn Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE HURON OB GYN PLLC (NPI 1013095173) is a healthcare organization registered as an obstetrics & gynecology in Bad Axe, Michigan and active in the NPI registry since November 2006. The organization lists Nancy Bischer Macchiarella, Owner, as its authorized official.

NPPES Registry Identity

NPI1013095173
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameLAKE HURON OB GYN PLLC
Location Address1005 S VAN DYKE RDBad Axe, MI 48413-9614
Mailing Address1005 S Van Dyke RdBad Axe, MI 48413-9614 · (989) 269-3923 · Fax (989) 269-3983
Phone(989) 269-3923
Fax(989) 269-3983
Organization SubpartNo
Authorized OfficialNancy Bischer MacchiarellaOwner · (989) 269-3923
Enumeration DateNovember 2, 2006
Last NPPES UpdateApril 16, 2021
NPPES CertifiedApril 16, 2021
✔ NPI 1013095173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MI · NK013377
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1005 S VAN DYKE RD, Bad Axe, MI 48413
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Other Identifiers 4

Other1603210171MI · Blue Cross Blue Shield Mi
Other1653210895MI · Blue Cross Blue Shield Mi
Medicaid4645433MI
Medicaid4624157MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXIS LAVALLEY
Student in an Organized Health Care Education/Training Program
1005 S VAN DYKE RD
BAD AXE, MI 48413
Huron County (989) 269-3923
MCLAREN CENTRAL MICHIGAN
Clinic/Center (Rural Health)
1005 S VAN DYKE RD
BAD AXE, MI 48413
Huron County (989) 269-3923

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Huron Ob Gyn PLLC's NPI number?

The NPI number for Lake Huron Ob Gyn PLLC is 1013095173. It was assigned to this organization in the NPPES registry on November 2, 2006.

Where is Lake Huron Ob Gyn PLLC located?

Lake Huron Ob Gyn PLLC is located at 1005 S Van Dyke Rd, Bad Axe, MI 48413. The listed phone number is (989) 269-3923.

What is Lake Huron Ob Gyn PLLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Lake Huron Ob Gyn PLLC was last updated on April 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.