ENDOMETRIOSIS TREATMENT CENTER OF AMERICA - MICHIGAN PLLC
NPI 1720669880
Obstetrics & Gynecology - Gynecologic Oncology in Lake Orion, MI
NPI Status: Active since April 19, 2021
Contact Information
1430 S LAPEER RD
LAKE ORION, MI
ZIP 48360
Phone: (248) 693-1630
Fax: (248) 731-2156
- Organization
- Obstetrics & Gynecology
- Gynecologic Oncology
- Accepts Insurance
- CLIA Number: 23D2283017
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-30-2027
About ENDOMETRIOSIS TREATMENT CENTER OF AMERICA - MICHIGAN PLLC
This page provides the complete NPI Profile along with additional information for Endometriosis Treatment Center Of America - Michigan Pllc, a women's health care provider established in Lake Orion, Michigan operating as a Obstetrics & Gynecology, focusing in gynecologic oncology . The healthcare provider is registered in the NPI registry with number 1720669880 assigned on April 2021. The practitioner's primary taxonomy code is 207VX0201X. The provider is registered as an organization and their NPI record was last updated one year ago. Endometriosis Treatment Center Of America - Michigan Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's
- NPI
- 1720669880
- Provider Legal Name
- ENDOMETRIOSIS TREATMENT CENTER OF AMERICA - MICHIGAN PLLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 1430 S LAPEER RD LAKE ORION, MI 48360
- Location Phone
- (248) 693-1630
- Location Fax
- (248) 731-2156
- Mailing Address
- 1430 S LAPEER RD LAKE ORION, MI 48360
- Mailing Phone
- (248) 693-1630
- Mailing Fax
- (248) 731-2156
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-19-2021
- Last Update Date
- 03-06-2025
- Code Navigator
Women's health care providers like Endometriosis Treatment Center Of America - Michigan Pllc 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
Secondary Locations
- 511 Pierce St
Birmingham, MI 48009
(947) 622-9126 - 122 E Brown St
Birmingham, MI 48009
(248) 693-1630
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 Gynecologic Oncology
- Taxonomy Code
- 207VX0201X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 2 | 207VF0040X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 3 | 207VG0400X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 4 | 291U00000X | Laboratories | Clinical Medical Laboratory |
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Select HMO Bronze Saver HSA - HMO
- Blue Cross� Select HMO Bronze Secure - HMO
- Blue Cross� Select HMO Silver - HMO
- Blue Cross� Select HMO Silver Extra - HMO
- Blue Cross� Select HMO Silver Saver - HMO
- Blue Cross� Select HMO Value - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 23D2283017
- Facility Type
- Physician Office
- Certificate Effective Date
- May 31, 2025
- Certificate Expiration Date
- May 30, 2027
- Laboratory Director
- JONATHAN ZAIDAN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Endometriosis Treatment Center Of America - Michigan Pllc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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 1720669880, 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 70 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720669880, enumerated as an "organization" on April 19, 2021.
The provider is located at 1430 S LAPEER RD LAKE ORION, MI 48360 and the phone number is (248) 693-1630.
Obstetrics & Gynecology with taxonomy code 207VX0201X and a focus in Gynecologic Oncology.
The provider might be accepting Accepts: Blue Care Network of Michigan. Please consult your insurance carrier or call the provider to verify.
