Individual provider Active NPI

Jaclyn Taylor Baratono, DO

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Brownstown, MI
National Provider Identifier
1093236192
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
5101023627 Issued in MI
Practice address
19249 Allen Rd. Suite B.
Brownstown, MI 48183-1189
Phone
(734) 225-6859
Fax
(833) 764-4766
NPI assigned
Jun 29, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VF0040X 5101023627 MI Primary
Obstetrics & Gynecology Physician 207V00000X 5101023627 MI

Addresses

Primary practice location

19249 Allen Rd. Suite B.
Brownstown, MI 48183-1189

Mailing address

19249 Allen Rd. Suite B.
Brownstown, MI 48183-1189
Phone (734) 225-6859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240703001013 MI Practitioner - Obstetrics/Gynecology 7911441746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19249 Allen Rd
Suite B
Brownstown TWP, MI 48183-1189
Phone (734) 225-6859

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101023627MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Urogynecology PLC Single Specialty CurrentSince Oct 20, 2025 Accepting new patients

Locations

19249 Allen Rd
Brownstown Twp, MI 48183
Phone (734) 479-2990

19249 Allen Rd
Ste B
Brownstown Twp, MI 48183
Phone (248) 835-2797

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1093236192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19249 ALLEN RD. SUITE B.",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481831189",
            "telephone_number": "734-225-6859",
            "fax_number": "833-764-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19249 ALLEN RD. SUITE B.",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481831189",
            "telephone_number": "734-225-6859",
            "fax_number": "833-764-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARATONO",
        "first_name": "JACLYN",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "MI",
            "license": "5101023627",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101023627",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownstown, MI

Sources for this page

Verify at the official NPI Registry.