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WALNUT LAKE OBGYN PLLC
NPI 1942340187
Obstetrics & Gynecology in West Bloomfield, MI

Active since February 07, 2007CLIA 23D1011098 · Microscopy
2300 HAGGERTY RD, STE 2070, WEST BLOOMFIELD, MI 48323(248) 926-2020(248) 926-9020 Get Directions Write a Review

NPPES record last updated: June 18, 2010. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Walnut Lake Obgyn Pllc NPPES

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

WALNUT LAKE OBGYN PLLC (NPI 1942340187) is a healthcare organization registered as an obstetrics & gynecology in West Bloomfield, Michigan and active in the NPI registry since February 2007. The organization holds a CLIA Microscopy certificate valid through March 31, 2027 and lists Alan D Goldsmith, Partner, as its authorized official.

NPPES Registry Identity

NPI1942340187
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameWALNUT LAKE OBGYN PLLC
Location Address2300 HAGGERTY RD, STE 2070West Bloomfield, MI 48323-2184
Mailing Address2300 Haggerty Rd, Ste 2070West Bloomfield, MI 48323-2190 · (248) 926-2020 · Fax (248) 926-9020
Phone(248) 926-2020
Fax(248) 926-9020
Organization SubpartNo
Authorized OfficialAlan D GoldsmithPartner · (248) 926-2020
Enumeration DateFebruary 7, 2007
Last NPPES UpdateJune 18, 2010
✔ NPI 1942340187 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 · AG035173
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.
2300 HAGGERTY RD, West Bloomfield, MI 48323
Open in Google Maps ↗

Other Identifiers 3

Other1600F321780MI · Blue Cross Group Pin
Other1942340187MI · Npi
Medicare PIN0N64200MI

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 Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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) 23D1011098

Walnut Lake Ob/Gyn · West Bloomfield, MI
Active · expires Mar 31, 2027
CLIA Number23D1011098
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorLon E. Katz
Laboratory Phone(248) 926-2020
Laboratory LocationWalnut Lake Ob/Gyn2300 Haggerty Road Suite 2070, West Bloomfield, MI 48323
CLIA data matches this NPI record on: Address 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 20

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

MRS. STEPHANIE MARIE LOUSIA WEINBERGER P.A.-C.
Physician Assistant
2300 HAGGERTY RD
WEST BLOOMFIELD, MI 48323
Oakland County (248) 624-9800
BLUEMED CARE PLLC
Internal Medicine (Infectious Disease)
2300 HAGGERTY RD, SUITE 1190
WEST BLOOMFIELD, MI 48323
Oakland County (248) 624-9800
RONALD S LEDERMAN, MD, PLLC
Orthopaedic Surgery
2300 HAGGERTY RD, SUITE 1110
WEST BLOOMFIELD, MI 48323
Oakland County (248) 669-2000
MICHAEL S SALESIN MD PLC
Obstetrics & Gynecology (Gynecology)
2300 HAGGERTY RD, STE 2070
WEST BLOOMFIELD, MI 48323
Oakland County (248) 926-2020
ANN TIMM RN
Registered Nurse
2300 HAGGERTY RD
WEST BLOOMFIELD, MI 48323
Oakland County (248) 859-2457
DR. COLLIN JAMES OKEEFE D.O.
Orthopaedic Surgery
2300 HAGGERTY RD, SUITE 1110
WEST BLOOMFIELD, MI 48323
Oakland County (248) 669-2000
DR. JEFFREY S. COHEN D.D.S.
Dentist (Oral and Maxillofacial Surgery)
2300 HAGGERTY RD, SUITE 2030
WEST BLOOMFIELD, MI 48323
Oakland County (248) 669-6600
DR. SHIVA HOGUGI DDS
Dentist (General Practice)
2300 HAGGERTY RD, SUITE 1170
WEST BLOOMFIELD, MI 48323
Oakland County (248) 669-5110

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 Walnut Lake Obgyn PLLC's NPI number?

The NPI number for Walnut Lake Obgyn PLLC is 1942340187. It was assigned to this organization in the NPPES registry on February 7, 2007.

Where is Walnut Lake Obgyn PLLC located?

Walnut Lake Obgyn PLLC is located at 2300 Haggerty Rd Ste 2070, West Bloomfield, MI 48323. The listed phone number is (248) 926-2020.

What is Walnut Lake Obgyn PLLC's specialty?

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

Does Walnut Lake Obgyn PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D1011098) is associated with this NPI, valid through March 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Walnut Lake Obgyn PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Walnut Lake Obgyn 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 Walnut Lake Obgyn PLLC was last updated on June 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.