LAKES OBGYN SPECIALIST – NPI #1548570062
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.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

LAKES OBGYN SPECIALIST is a provider located in NORTON SHORES, MI. NPPES has assigned the NPI number 1548570062 to LAKES OBGYN SPECIALIST on October 18, 2010. 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 last updated on Mar 05, 2026. 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 LAKES OBGYN SPECIALIST below.

NPI Profile for
LAKES OBGYN SPECIALIST

NPI Number
1548570062
Enumeration Date

(more than 15 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
LAKES OBGYN SPECIALIST
Primary location
6401 PRAIRIE ST STE 1700
NORTON SHORES, MI 49444-7843
Phone: (231) 672-7939 Fax:
1 Other location(s):
6401 Prairie St Ste 2100
Norton Shores, MI 49444-7842
Phone: (231) 672-7939
Fax: (231) 727-7935
Mailing address
PO BOX 776982
CHICAGO, IL 60677-6982
Phone: (800) 494-5797 Fax:
Organization Subpart
Yes - LAKES OBGYN SPECIALIST is subpart of another organization.
Authorized Official
MICHAEL GUSHO
CHIEF FINANCIAL OFFICE
Phone: (734) 398-0642
Updated
Certification Date
Mar 05, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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)
367A00000X
- Advanced Practice Midwife
363L00000X
- Nurse Practitioner
363A00000X
- Physician Assistant

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.1068.1
Content Type
Affiliation
Y
Endpoint Location
2720 DUNDEE RD # 302,
NORTHBROOK, IL 77025-1669