MICHIGAN MATERNAL FETAL MEDICINE PLC
NPI 1053382705
Obstetrics & Gynecology - Maternal & Fetal Medicine in Pontiac, MI
NPI Status: Active since January 31, 2006
Contact Information
44405 WOODWARD AVE
ROOM 571
PONTIAC, MI
ZIP 48341
Phone: (248) 858-6762
Fax: (248) 858-3761
- Organization
- Obstetrics & Gynecology
- Maternal & Fetal Medicine
- Accepts Insurance
- CLIA Number: 23D0961666
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-13-2027
About MICHIGAN MATERNAL FETAL MEDICINE PLC
This page provides the complete NPI Profile along with additional information for Michigan Maternal Fetal Medicine Plc, a women's health care provider established in Pontiac, Michigan operating as a Obstetrics & Gynecology, focusing in maternal & fetal medicine . The healthcare provider is registered in the NPI registry with number 1053382705 assigned on January 2006. The practitioner's primary taxonomy code is 207VM0101X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is George Kazzi M.d. (President)
- NPI
- 1053382705
- Provider Name
- MICHIGAN MATERNAL FETAL MEDICINE PLC
- Entity Type
- Organization
- Location Address
- 44405 WOODWARD AVE ROOM 571 PONTIAC, MI 48341
- Location Phone
- (248) 858-6762
- Location Fax
- (248) 858-3761
- Mailing Address
- 44405 WOODWARD AVE PONTIAC, MI 48341
- Mailing Phone
- (248) 858-6762
- Mailing Fax
- (248) 858-3761
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-31-2006
- Last Update Date
- 06-29-2017
- Code Navigator
Women's health care providers like Michigan Maternal Fetal Medicine Plc treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology Maternal & Fetal Medicine
- Taxonomy Code
- 207VM0101X
- Type
- Allopathic & Osteopathic Physicians
- License State
- MI
- Taxonomy Description
- An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0N56680 | MEDICARE PIN (08) | MI |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D0961666
- Facility Type
- Physician Office
- Certificate Effective Date
- June 14, 2025
- Certificate Expiration Date
- June 13, 2027
- Laboratory Director
- USMAN MASTER
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Michigan Maternal Fetal Medicine Plc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 5 | 3 | 3 | 8 | 2 | 7 | 0 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 10 | 3 | 6 | 8 | 4 | 7 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 0 + 3 + 6 + 8 + 4 + 7 + 0 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1053382705 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1871598433 | NICOLA LYNN JUZYSTA PHARM.D. Individual | Pharmacist | 44405 WOODWARD AVE PONTIAC, MI 48341 (248) 858-3787 |
| 1144226689 | MS. MARYBETH AVRIPAS MARSHALL R.PH. Individual | Pharmacist | 44405 WOODWARD AVE # H-13 PONTIAC, MI 48341 (248) 858-3787 |
| 1487632071 | MRS. RENEE K COURTNEY NP Individual | Nurse Practitioner | 44405 WOODWARD AVE OUTCOMES MANAGEMENT PONTIAC, MI 48341 (248) 858-3061 |
| 1285612366 | JOYCE A SOCHACKI NP Individual | Nurse Practitioner | 44405 WOODWARD AVE PONTIAC, MI 48341 (248) 858-3000 |
| 1588635882 | FEDERICO MARIONA M.D. Individual | Obstetrics & Gynecology (Maternal & Fetal Medicine) | 44405 WOODWARD AVE ROOM 571 PONTIAC, MI 48341 (248) 858-6762 |
| 1548232788 | DR. RAJAN SESHADRI KRISHNAN M D Individual | Specialist | 44405 WOODWARD AVE ALICE GUSTAFSON CENTER STE 202 PONTIAC, MI 48341 (284) 858-2270 |
| 1316916901 | DENNIS MALLOY MD Individual | Internal Medicine | 44405 WOODWARD AVE PONTIAC, MI 48341 (248) 858-3126 |
| 1538138151 | JON B MORRIS PAC Individual | Physician Assistant | 44405 WOODWARD AVE ATTN CARDIOTHORACIC SURGERY PONTIAC, MI 48341 (248) 858-6717 |
| 1194772020 | DR. MICHAEL L HICKS MD Individual | Obstetrics & Gynecology (Gynecologic Oncology) | 44405 WOODWARD AVE 202 PONTIAC, MI 48341 (248) 858-2270 |
| 1386681385 | JOSEPH J BANDER MD Individual | Internal Medicine | 44405 WOODWARD AVE PONTIAC, MI 48341 (248) 335-1110 |
| 1063451839 | BLOOMFIELD ANESTHESIA, PC Organization | Anesthesiology | 44405 WOODWARD AVE PONTIAC, MI 48341 (248) 858-3051 |
| 1700825288 | DR. STANLEY A DORFMAN M.D. Individual | Obstetrics & Gynecology | 44405 WOODWARD AVE SUITE 200 PONTIAC, MI 48341 (248) 338-0100 |
| 1720028582 | JODY WRIGHT AMENT CRNA Individual | Nurse Anesthetist, Certified Registered | 44405 WOODWARD AVE PONTIAC, MI 48341 (248) 858-6593 |
| 1275575532 | BHAVANI GARAPATI Individual | Anesthesiology | 44405 WOODWARD AVE PONTIAC, MI 48341 (248) 858-3051 |
| 1861437840 | JEREMY WILLMAR VOELTZ CRNA Individual | Nurse Anesthetist, Certified Registered | 44405 WOODWARD AVE PONTIAC, MI 48341 (248) 858-6539 |
| 1669417234 | DARLENE IWANIW Individual | Nurse Anesthetist, Certified Registered | 44405 WOODWARD AVE PONTIAC, MI 48341 (248) 858-6593 |
| 1336184779 | JOSEPH JULIAN NAVA Individual | Nurse Anesthetist, Certified Registered | 44405 WOODWARD AVE PONTIAC, MI 48341 (248) 858-6593 |
| 1881620979 | JOFFER HAKIM Individual | Anesthesiology | 44405 WOODWARD AVE PONTIAC, MI 48341 (248) 858-3051 |
| 1780610873 | SWARAJYAM KAZA Individual | Anesthesiology | 44405 WOODWARD AVE PONTIAC, MI 48341 (248) 858-3051 |
| 1588690671 | WILLIAM PAVLIK Individual | Anesthesiology | 44405 WOODWARD AVE PONTIAC, MI 48341 (248) 858-3051 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053382705, enumerated in the NPI registry as an "organization" on January 31, 2006
The provider is located at 44405 Woodward Ave Room 571 Pontiac, Mi 48341 and the phone number is (248) 858-6762
This medical organization specializes in Obstetrics & Gynecology with taxonomy code 207VM0101X with a focus in Maternal & Fetal Medicine
The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 23D0961666 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on January 31, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.