ENDOMETRIOSIS TREATMENT CENTER OF AMERICA - MICHIGAN PLLC
NPI 1720669880
Obstetrics & Gynecology - Gynecologic Oncology in Lake Orion, MI

Active since April 19, 2021CLIA Certified · 2 labs
1430 S LAPEER RD, LAKE ORION, MI 48360(248) 693-1630(248) 731-2156 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 6, 2025, Jun 16, 2021, Jun 4, 2021 and 1 more (4 updates tracked since 2021).

About Endometriosis Treatment Center Of America - Michigan Pllc NPPES

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

ENDOMETRIOSIS TREATMENT CENTER OF AMERICA - MICHIGAN PLLC (NPI 1720669880), doing business as Endometriosis Treatment Center Of America, is a healthcare organization registered as a gynecologic oncology in Lake Orion, Michigan and active in the NPI registry since April 2021. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Jonathan Zaidan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1720669880
Entity TypeOrganization
Primary Taxonomy207VX0201X
Legal Business NameENDOMETRIOSIS TREATMENT CENTER OF AMERICA - MICHIGAN PLLC
Location Address1430 S LAPEER RDLake Orion, MI 48360-1437
Mailing Address1430 S Lapeer RdLake Orion, MI 48360-1437 · (248) 693-1630 · Fax (248) 731-2156
Fax(248) 731-2156
Organization SubpartNo
Authorized OfficialJonathan ZaidanCeo · (248) 693-1630
Enumeration DateApril 19, 2021
Last NPPES UpdateMarch 6, 20254 updates tracked since enumeration
NPPES CertifiedMarch 6, 2025
NPI 1720669880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
Definition

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.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
1430 S LAPEER RD, Lake Orion, MI 48360

Other Names 1

Doing Business AsEndometriosis Treatment Center Of America

Secondary Practice Locations 2

Location 1122 E Brown StBirmingham, MI 48009-6201 · Phone (248) 693-1630 · Fax (248) 731-2156
Location 2511 Pierce StBirmingham, MI 48009-1790 · Phone (947) 622-9126 · Fax (248) 693-3683

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

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) 23D2283017

Endometriosis Treatment Center Of America · Lake Orion, MI
Active · expires May 30, 2027
CLIA Number23D2283017
Laboratory TypePhysician Office
Certificate Effective DateMay 31, 2025
Certificate Expiration DateMay 30, 2027
Laboratory DirectorJonathan Zaidan
Laboratory Phone(248) 731-2141
Laboratory LocationEndometriosis Treatment Center Of America1430 S Lapeer Road, Lake Orion, MI 48360
CLIA data matches this NPI record on: Address Name
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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 23D2279704

Endometriosis Treatment Center Of America · Birmingham, MI
Active · expires Apr 5, 2027
CLIA Number23D2279704
Laboratory TypePhysician Office
Certificate Effective DateApril 6, 2025
Certificate Expiration DateApril 5, 2027
Laboratory DirectorJonathan Zaidan
Laboratory Phone(248) 731-2141
Laboratory LocationEndometriosis Treatment Center Of America122 E Brown Street, Birmingham, MI 48009
CLIA data matches this NPI record on: Address Name
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

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

Physician Assistant
1430 S LAPEER RD
LAKE ORION, MI 48360

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 Endometriosis Treatment Center Of America - Michigan PLLC's NPI number?

The NPI number for Endometriosis Treatment Center Of America - Michigan PLLC is 1720669880. It was assigned to this organization in the NPPES registry on April 19, 2021. The provider is doing business as Endometriosis Treatment Center of America.

Where is Endometriosis Treatment Center Of America - Michigan PLLC located?

Endometriosis Treatment Center Of America - Michigan PLLC is located at 1430 S Lapeer Rd, Lake Orion, MI 48360. The listed phone number is (248) 693-1630.

What is Endometriosis Treatment Center Of America - Michigan PLLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Does Endometriosis Treatment Center Of America - Michigan PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Endometriosis Treatment Center Of America - Michigan PLLC accept?

Health plans from Blue Care Network of Michigan list Endometriosis Treatment Center Of America - Michigan 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 Endometriosis Treatment Center Of America - Michigan PLLC was last updated on March 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.