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Modern Obstetrics & Gynecology Pllc

Obstetrics & Gynecology Physician in West Bloomfield, MI · enumerated 2008 · authorized official Jay Fisher, Physician/ President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205002342

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Registry record

Entity type Organization (Type 2)
Legal business name Modern Obstetrics & Gynecology Pllc
Practice address 5793 W Maple Rd Ste 147, West Bloomfield, MI, 48322
Fax (248) 970-2941
Enumeration date May 7, 2008
Last updated in NPPES Feb 4, 2019

Taxonomy & classification

207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Primary
261QM2500X Medical Specialty Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Jay Fisher
Title Physician/ President

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.

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Frequently asked questions

What is the NPI number for Modern Obstetrics & Gynecology Pllc?
The NPI for Modern Obstetrics & Gynecology Pllc is 1205002342, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Modern Obstetrics & Gynecology Pllc?
NPPES lists Jay Fisher (Physician/ President) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-02-04.