MODERN OBSTETRICS & GYNECOLOGY PLLC – NPI #1205002342
Obstetrics & Gynecology

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.

MODERN OBSTETRICS & GYNECOLOGY PLLC is a provider located in WEST BLOOMFIELD, MI. NPPES has assigned the NPI number 1205002342 to MODERN OBSTETRICS & GYNECOLOGY PLLC on May 07, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was previously updated about 7 years ago on Feb 04, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MODERN OBSTETRICS & GYNECOLOGY PLLC below.

NPI Profile for
MODERN OBSTETRICS & GYNECOLOGY PLLC

NPI Number
1205002342
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MODERN OBSTETRICS & GYNECOLOGY PLLC
Primary location
5793 W MAPLE RD STE 147
WEST BLOOMFIELD, MI 48322-4478
Phone: (248) 862-7221 Fax: (248) 970-2941
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JAY FISHER
PHYSICIAN/ PRESIDENT
Phone: (248) 862-7221
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)
261QM2500X
- Clinic/Center / Medical Specialty

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.