Lake Huron Ob Gyn Pllc

Lake Huron Ob Gyn Pllc is a healthcare organization registered as Obstetrics & Gynecology Physician in Bad Axe, MI, holding Type 2 (organization) NPI 1013095173 since 2006. The authorized official on file is Nancy Macchiarella, Owner.

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NPI	1013095173
Entity type	Organization (Type 2)
Legal business name	Lake Huron Ob Gyn Pllc
Practice address	1005 S VAN DYKE RD, Bad Axe, MI, 48413
Phone	9892693923
Fax	9892693983
Enumeration date	2006-11-02
Last updated in NPPES	2021-04-16

Authorized official

Name	Nancy Macchiarella
Title	Owner
Phone	9892693923

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
207V00000X	Obstetrics & Gynecology Physician	Primary	NK013377	MI

Other identifiers

Identifier	Type	State	Issuer
1653210895	Other	MI	BLUE CROSS BLUE SHIELD MI
1603210171	Other	MI	BLUE CROSS BLUE SHIELD MI
4624157	Medicaid	MI	—
4645433	Medicaid	MI	—

Copy-ready billing details

Provider: Lake Huron Ob Gyn Pllc
NPI: 1013095173
Taxonomy: 207V00000X (Obstetrics & Gynecology Physician)
Address: 1005 S VAN DYKE RD, Bad Axe, MI, 48413

Providers at this address

NPI	Name	Type	Specialty	Location
1306467238	Mclaren Central Michigan	Organization	Rural Health Clinic/Center	Bad Axe, MI

Verify this record

Cross-check NPI 1013095173 against the authoritative CMS record: view Lake Huron Ob Gyn Pllc on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-04-16. Verify at npiregistry.cms.hhs.gov.

Where is Lake Huron Ob Gyn Pllc located?

The practice location on file with NPPES is in Bad Axe, MI.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-04-16.