Organization
Endometriosis Treatment Center of America - Michigan PLLC
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 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
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.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Obstetrics & Gynecology
Gynecologic Oncology
Allopathic & Osteopathic Physicians
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 207V00000XObstetrics & 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 207VF0040XObstetrics & Gynecology
Gynecology
Allopathic & Osteopathic Physicians
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
Taxonomy code 207VG0400XClinical 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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