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MODERN OBSTETRICS & GYNECOLOGY PLLC
NPI 1205002342
Obstetrics & Gynecology in West Bloomfield, MI

Active since May 07, 2008CLIA 23D1084201 · Microscopy
5793 W MAPLE RD STE 147, WEST BLOOMFIELD, MI 48322(248) 862-7221(248) 970-2941 Get Directions Write a Review

NPPES record last updated: February 4, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 4, 2019, Oct 1, 2018 (2 updates tracked since 2018).

About Modern Obstetrics & Gynecology Pllc NPPES

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

MODERN OBSTETRICS & GYNECOLOGY PLLC (NPI 1205002342) is a healthcare organization registered as an obstetrics & gynecology in West Bloomfield, Michigan and active in the NPI registry since May 2008. The organization holds a CLIA Microscopy certificate valid through May 25, 2027 and lists Jay E Fisher, Physician/ President, as its authorized official.

NPPES Registry Identity

NPI1205002342
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameMODERN OBSTETRICS & GYNECOLOGY PLLC
Location Address5793 W MAPLE RD STE 147West Bloomfield, MI 48322-4478
Mailing Address5793 W Maple Rd Ste 147West Bloomfield, MI 48322-4478 · (248) 862-7221 · Fax (248) 970-2941
Phone(248) 862-7221
Fax(248) 970-2941
Organization SubpartNo
Authorized OfficialJay E FisherPhysician/ President · (248) 862-7221
Enumeration DateMay 7, 2008
Last NPPES UpdateFebruary 4, 20192 updates tracked since enumeration
✔ NPI 1205002342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
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.
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X
5793 W MAPLE RD STE 147, West Bloomfield, MI 48322
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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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 23D1084201

Modern Obstetrics & Gynecology · West Bloomfield, MI
Active · expires May 25, 2027
CLIA Number23D1084201
Laboratory TypePhysician Office
Certificate Effective DateMay 26, 2025
Certificate Expiration DateMay 25, 2027
Laboratory DirectorJay E. Fisher
Laboratory Phone(248) 862-7221
Laboratory LocationModern Obstetrics & Gynecology5793 W Maple Road Suite 100, West Bloomfield, MI 48322
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

DR. LORI L SHOHA MD
Obstetrics & Gynecology
5793 W MAPLE RD STE 147
WEST BLOOMFIELD, MI 48322
Oakland County (248) 862-7221
DR. JAY E FISHER MD
Obstetrics & Gynecology
5793 W MAPLE RD STE 147
WEST BLOOMFIELD, MI 48322
Oakland County (248) 862-7221

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 Modern Obstetrics & Gynecology PLLC's NPI number?

The NPI number for Modern Obstetrics & Gynecology PLLC is 1205002342. It was assigned to this organization in the NPPES registry on May 7, 2008.

Where is Modern Obstetrics & Gynecology PLLC located?

Modern Obstetrics & Gynecology PLLC is located at 5793 W Maple Rd Ste 147, West Bloomfield, MI 48322. The listed phone number is (248) 862-7221.

What is Modern Obstetrics & Gynecology PLLC's specialty?

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

Does Modern Obstetrics & Gynecology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D1084201) is associated with this NPI, valid through May 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Modern Obstetrics & Gynecology PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Modern Obstetrics & Gynecology PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Modern Obstetrics & Gynecology PLLC was last updated on February 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.