Endometriosis Treatment Center of America - Michigan PLLC
NPI 1720669880 · Gynecologic Oncology Physician · Lake Orion, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Endometriosis Treatment Center of America - Michigan PLLC is a Gynecologic Oncology Physician organization in Lake Orion, MI (NPI 1720669880).
Provider details
- NPI number
- 1720669880
- Entity type
- Organization
- Primary specialty
- Gynecologic Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jonathan Zaidan, Ceo(248) 693-1630
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Gynecology Physician207VG0400X
Allopathic & Osteopathic Physicians
- Clinical Medical Laboratory291U00000X
Laboratories
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Other names (DBA / former)
- Doing business as
- Endometriosis Treatment Center of America
- Doing business as
- Endometriosis Treatment Center of America
Additional practice locations (2)
- 511 Pierce StBirmingham, MI 48009-1790Phone: (947) 622-9126Fax: (248) 693-3683
- 122 E Brown StBirmingham, MI 48009-6201Phone: (248) 693-1630Fax: (248) 731-2156
Registry dates
- Enumerated
- 2021-04-19
- Last updated
- 2025-03-06
- Certified
- 2025-03-06
Frequently asked questions
- What is Endometriosis Treatment Center of America - Michigan PLLC's NPI number?
- Endometriosis Treatment Center of America - Michigan PLLC's National Provider Identifier (NPI) is 1720669880, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Endometriosis Treatment Center of America - Michigan PLLC?
- Endometriosis Treatment Center of America - Michigan PLLC is classified in the NPPES registry as Gynecologic Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Endometriosis Treatment Center of America - Michigan PLLC located?
- Endometriosis Treatment Center of America - Michigan PLLC's practice location on file with NPPES is 1430 S Lapeer Rd, Lake Orion, MI 48360-1437.
- What is Endometriosis Treatment Center of America - Michigan PLLC's phone number?
- The practice phone number listed in the NPPES registry for Endometriosis Treatment Center of America - Michigan PLLC is (248) 693-1630.
- Does Endometriosis Treatment Center of America - Michigan PLLC accept Medicare?
- Endometriosis Treatment Center of America - Michigan PLLC 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 Endometriosis Treatment Center of America - Michigan PLLC?
- The authorized official listed on Endometriosis Treatment Center of America - Michigan PLLC's NPPES record is Jonathan Zaidan, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Endometriosis Treatment Center of America - Michigan PLLC's NPI active?
- Yes — Endometriosis Treatment Center of America - Michigan PLLC's NPI (1720669880) is active in the NPPES registry as of the last update on 2025-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.