GREAT LAKES UROGYNECOLOGY PLC
NPI 1144111840
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Brownstown Twp, MI

NPI Status: Active since July 10, 2025

Contact Information

19249 ALLEN RD STE B
BROWNSTOWN TWP, MI
ZIP 48183
Phone: (248) 835-2797

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  • Organization
  • Obstetrics & Gynecology
  • Urogynecology and Reconstructive Pelvic ...
  • CLIA Number: 23D2330379
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-15-2027

About GREAT LAKES UROGYNECOLOGY PLC

This page provides the complete NPI Profile along with additional information for Great Lakes Urogynecology Plc, a women's health care provider established in Brownstown Twp, Michigan operating as a Obstetrics & Gynecology, focusing in urogynecology and reconstructive pelvic surgery . The healthcare provider is registered in the NPI registry with number 1144111840 assigned on July 2025. The practitioner's primary taxonomy code is 207VF0040X. The provider is registered as an organization and their NPI record was last updated one year ago. Great Lakes Urogynecology Plc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Jaclyn Taylor Baratono (Authorized Official)

NPI
1144111840
Provider Name
GREAT LAKES UROGYNECOLOGY PLC
Entity Type
Organization
Location Address
19249 ALLEN RD STE B BROWNSTOWN TWP, MI 48183
Location Phone
(248) 835-2797
Mailing Address
19249 ALLEN RD STE B BROWNSTOWN TWP, MI 48183
Mailing Phone
(734) 225-6859
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-10-2025
Last Update Date
08-05-2025
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Women's health care providers like Great Lakes Urogynecology Plc treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Obstetrics & Gynecology Urogynecology and Reconstructive Pelvic Surgery

Taxonomy Code
207VF0040X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JACLYN TAYLOR BARATONO

Authorized Official Title
AUTHORIZED OFFICIAL
Authorized Official Phone
(734) 225-6859

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D2330379
Facility Type
Physician Office
Certificate Effective Date
September 16, 2025
Certificate Expiration Date
September 15, 2027
Laboratory Director
JACLYN T. BARATONO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Great Lakes Urogynecology Plc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1144111840, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
4
Doubled → 8
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
1
Unchanged
Pos 7
1
Doubled → 2
Pos 8
8
Unchanged
Pos 9
4
Doubled → 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 1 → 2 1 → 2 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 8 + 4 + 2 + 1 + 2 + 8 + 8 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1144111840.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144111840, enumerated as an "organization" on July 10, 2025.

The provider is located at 19249 ALLEN RD STE B BROWNSTOWN TWP, MI 48183 and the phone number is (248) 835-2797.

Obstetrics & Gynecology with taxonomy code 207VF0040X and a focus in Urogynecology and Reconstructive Pelvic Surgery.