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Organization

Endometriosis Treatment Center of America - Michigan PLLC

NPI Record: ActiveObstetrics & Gynecology — Gynecologic Oncology
NPI1720669880
Lake Orion, Michigan

Provider's NPPES record last updated: March 6, 2025

Overview

Entity Type
Organization
NPI
1720669880
Primary Specialty
Obstetrics & Gynecology — Gynecologic Oncology
Practice Location
Lake Orion, Michigan
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 1:50 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Obstetrics & Gynecology

    Gynecologic Oncology

    Allopathic & Osteopathic Physicians

    Primary

    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.

    Taxonomy code 207VX0201X
  • Obstetrics & Gynecology

    Allopathic & Osteopathic Physicians

    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.

    Taxonomy code 207V00000X
  • Obstetrics & Gynecology

    Urogynecology and Reconstructive Pelvic Surgery

    Allopathic & Osteopathic Physicians

    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.

    Taxonomy code 207VF0040X
  • Obstetrics & Gynecology

    Gynecology

    Allopathic & Osteopathic Physicians

    A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

    Taxonomy code 207VG0400X
  • Clinical Medical Laboratory

    Laboratories

    (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

    Taxonomy code 291U00000X

Practice Locations

Practice Location

1430 S Lapeer Rd

Lake Orion, Michigan 48360-1437

Phone: (248) 693-1630

Additional Practice Location

511 Pierce St

Birmingham, Michigan 48009-1790

Phone: (947) 622-9126

Fax: (248) 693-3683

Additional Practice Location

122 E Brown St

Birmingham, Michigan 48009-6201

Phone: (248) 693-1630

Fax: (248) 731-2156

Other Names

  • Endometriosis Treatment Center of AmericaReported April 19, 2021
  • Endometriosis Treatment Center of AmericaReported April 20, 2021

Record Information

Enumeration Date
April 19, 2021
Provider's NPPES Record Last Updated
March 6, 2025
Certification Date
March 6, 2025
NPISignal NPPES Dataset
August 2026

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