DR. GEOFFREY TRIVAX (NPI# 1164407730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164407730 |
| Entity Type | Individual |
| Full Name | DR. GEOFFREY TRIVAX |
| Credential | M.D. |
| Practice Address |
28625 Northwestern Hwy Suite 213 Southfield MI 48034-1828 |
| Practice Telephone | 2483549666 |
| Practice Fax Number | 2483543653 |
| Mailing Telephone | 2483549666 |
| Mailing Fax Number | 2483543653 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2011-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 4301031978 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | RR MEDICARE | 110169407 | 01 |
| MI | M'CARE | B0531 | 01 |
| MI | GREAT LAKES HEALTH PLAN | 103419 | 01 |
| MI | 1164407730 | 05 | |
| MI | BCBS INDIVIDUAL | 0635303 | 01 |
| MI | BLUE SHIELD | 700F314390 | 01 |
| Street Address |
28625 NORTHWESTERN HWY SUITE 213 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48034-1828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477543874 | Sidney B Beck | Otolaryngology | 28625 Northwestern Hwy, Ste 1507, Southfield, MI 48034-1828 | 2005-10-26 |
| 1720369358 | Michigan Healthcare Professionals | Clinic/Center | 28625 Northwestern Hwy, Suite C, Southfield, MI 48034-1828 | 2011-09-09 |
| 1356661722 | Christy Stockton Parent | Physician Assistant | 28625 Northwestern Hwy, Southfield, MI 48034-1828 | 2010-06-08 |
| 1285873430 | Mmg 1pc | Physical Medicine & Rehabilitation | 28625 Northwestern Hwy, Suite 150, Southfield, MI 48034-1828 | 2009-02-11 |
| 1033367362 | Herman Kado | Internal Medicine | 28625 Northwestern Hwy, Suite 150, Southfield, MI 48034-1828 | 2008-08-28 |
| 1215103940 | Mmg 1pc | General Practice | 28625 Northwestern Hwy, Suite 213, Southfield, MI 48034-1828 | 2008-05-02 |
| 1255506556 | Mi Healthcare Professionals PC | Clinic/Center | 28625 Northwestern Hwy, Suite 100, Southfield, MI 48034-1828 | 2008-04-28 |
| 1972672103 | Arthur A Efros | Internal Medicine | 28625 Northwestern Hwy, Suite 213, Southfield, MI 48034-1828 | 2006-11-06 |
| 1629184049 | Mmg 1pc | Internal Medicine | 28625 Northwestern Hwy, Suite 223, Southfield, MI 48034-1828 | 2006-08-21 |
| 1174530398 | Nancy B. Berman | Nurse Practitioner | 28625 Northwestern Hwy, Suite 213, Southfield, MI 48034-1828 | 2006-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219196 | I. R. Horn & Associates LLC | Community/Behavioral Health | 29623 Norhtwestern Hwy Suite 5, Southfield, MI 48034 | 2020-03-05 |
| 1003378753 | Alexis Shivers | Physical Therapy Assistant | 27500 Lahser Rd, Southfield, MI 48034 | 2019-04-02 |
| 1598257768 | El-abbadi Pediatric Clinic | Pediatrics | 24676 Lahser Road, Southfield, MI 48034 | 2018-06-04 |
| 1689166894 | Recore Rehabilitation Services | Clinic/Center | 25899 W 12 Mile Rd # 340, Southfield, MI 48034 | 2018-06-04 |
| 1578063749 | El-abbadi Healthcare Center | Clinic/Center | 27403 Lahser Rd, Southfield, MI 48034 | 2018-02-14 |
| 1063924819 | Diagnostic Hematology, PC | Clinical Medical Laboratory | 24725 W. Twelve Mile Road, Suite 118, Southfield, MI 48034 | 2017-11-02 |
| 1962929125 | Toms Holistic Home Visits Pllc | Clinic/Center | 28675 Franklin Rd, Suite 217, Southfield, MI 48034 | 2017-08-28 |
| 1265956940 | Abbadi Healthcare | Pharmacy | 27402 Lahser Road, Southfield, MI 48034 | 2017-08-03 |
| 1720517113 | Theramedic Home Health Care LLC | Home Health | 26400 W. 12 Mile Rd, Suite 80, Southfield, MI 48034 | 2017-06-08 |
| 1538695804 | Adrienne Rutherford | Occupational Therapist | 25999 Franklin Pointe Dr, Southfield, MI 48034 | 2017-05-05 |
| Find all providers in zip 48034 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910687 | Berry Johnson Health Pllc | Internal Medicine | 30123 Rock Creek Dr, Southfield, MI 48076-5358 | 2020-10-24 |
| 1063036960 | Hawra Kamal | Internal Medicine | Academic Internal Medicine 22250 Providence Dr, 3pmb Suite #301, Southfield, MI 48075-4818 | 2020-06-05 |
| 1578187175 | Brittni Mcclellan | Internal Medicine | 16001 W 9 Mile Rd # Rs, Southfield, MI 48075-4818 | 2020-05-31 |
| 1841811882 | Humza Medical Md PC | Internal Medicine | 27207 Lahser Suite 200b, Southfield, MI 48034-8407 | 2020-04-30 |
| 1487168001 | Us Knee Center Pllc | Internal Medicine | 24901 Northwestern Hwy Ste 113, Southfield, MI 48075-2200 | 2017-11-17 |
| 1427576636 | Comfort Care Center Corp | Internal Medicine | 15565 Northland Dr E Ste 204, Southfield, MI 48075 | 2017-09-07 |
| 1609391382 | Excellence Home Physicians | Internal Medicine | 16910 W 10 Mile Rd Ste 105, Southfield, MI 48075-2900 | 2017-08-03 |
| 1598112567 | Ark Multispecialty Physicians Pllc | Internal Medicine | 25130 Southfield Rd, Suite 230, Southfield, MI 48075-1910 | 2016-05-19 |
| 1659756005 | Haseeb Aslam | Internal Medicine | 16001 West Nile Mile Road Fisher Center, 401, Southfield, MI 48075 | 2015-07-28 |
| 1548643562 | Erin Goldman | Internal Medicine | 16001 W Nine Mile Road, Providence Hospital Medical Ctr. Grad Med Education, Southfield, MI 48075 | 2015-07-08 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48034 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.