Great Lakes Urogynecology PLC
NPI 1144111840 · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Brownstown Twp, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Great Lakes Urogynecology PLC is a Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician organization in Brownstown Twp, MI (NPI 1144111840).
Provider details
- NPI number
- 1144111840
- Entity type
- Organization
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jaclyn Baratono, Authorized Official(734) 225-6859
Specialties & taxonomies
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianPrimary207VF0040X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-07-10
- Last updated
- 2025-08-05
- Certified
- 2025-08-05
Frequently asked questions
- What is Great Lakes Urogynecology PLC's NPI number?
- Great Lakes Urogynecology PLC's National Provider Identifier (NPI) is 1144111840, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Urogynecology PLC?
- Great Lakes Urogynecology PLC is classified in the NPPES registry as Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (Allopathic & Osteopathic Physicians).
- Where is Great Lakes Urogynecology PLC located?
- Great Lakes Urogynecology PLC's practice location on file with NPPES is 19249 Allen Rd Ste B, Brownstown Twp, MI 48183-1189.
- What is Great Lakes Urogynecology PLC's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Urogynecology PLC is (248) 835-2797.
- Does Great Lakes Urogynecology PLC accept Medicare?
- Great Lakes Urogynecology PLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Great Lakes Urogynecology PLC?
- The authorized official listed on Great Lakes Urogynecology PLC's NPPES record is Jaclyn Baratono, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Urogynecology PLC's NPI active?
- Yes — Great Lakes Urogynecology PLC's NPI (1144111840) is active in the NPPES registry as of the last update on 2025-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.