DR. JOHNNY RAY TROTTER II (NPI# 1548441058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548441058 |
| Entity Type | Individual |
| Full Name | DR. JOHNNY RAY TROTTER II |
| Credential | M.D. |
| Practice Address |
20905 Greenfield Rd Suite 303 Southfield MI 48075-5360 |
| Practice Telephone | 2485597730 |
| Mailing Telephone | 2485597730 |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2007-11-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 4301091131 | MI | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | 35-090208 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
20905 GREENFIELD RD SUITE 303 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-5360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669439915 | All American Rehab Care | Clinic/Center | 20905 Greenfield Rd, Suite 300, Southfield, MI 48075-5360 | 2006-04-28 |
| 1295281582 | Mohamed Makki | Physical Therapy Assistant | 20905 Greenfield Rd, Suite 300 M, Southfield, MI 48075-5360 | 2016-08-28 |
| 1699131698 | Roxann Baker Dds PC | Dentist | 20905 Greenfield Rd, 208, Southfield, MI 48075-5360 | 2016-01-06 |
| 1629494422 | Tara L Walker | Nurse Practitioner | 20905 Greenfield Rd, Suite 406, Southfield, MI 48075-5360 | 2014-03-17 |
| 1265874945 | Greenfield and 9 Mile Medical Center Pllc | Family Medicine | 20905 Greenfield Rd, Ste 607m, Southfield, MI 48075-5360 | 2013-07-23 |
| 1053663575 | Rsmd Pllc | Internal Medicine | 20905 Greenfield Rd, Suite 406, Southfield, MI 48075-5360 | 2012-10-08 |
| 1538417654 | R S Medical Services Plc | Internal Medicine | 20905 Greenfield Rd, Suite 406, Southfield, MI 48075-5360 | 2012-08-21 |
| 1861754152 | Everett B. Simmons,jr.,m.d.,p.c. | Dermatology | 20905 Greenfield Rd, 607, Southfield, MI 48075-5360 | 2012-06-12 |
| 1912282096 | Melissa Ann Mack | Nurse Practitioner | 20905 Greenfield Rd, Suite 502, Southfield, MI 48075-5360 | 2011-10-20 |
| 1508182288 | Comprehensive Oral Healthcare PC | Dentist | 20905 Greenfield Rd, Suite 601, Southfield, MI 48075-5360 | 2010-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724101 | Alec Jerry Raniwsky | Surgery | 22250 Providence Drive 7pmb Suite #703a, Southfield, MI 48075-4825 | 2020-06-12 |
| 1881898716 | Lubna Noreen Suleman | Surgery | 16001 W Nine Mile Rd, Southfield, MI 48075 | 2007-06-13 |
| 1336358522 | Jerome William Cooper | Surgery | 23625 Northwestern Hwy, Southfield, MI 48075-7711 | 2007-05-22 |
| 1154391381 | Steven Hendrick | Surgery | 29080 Inkster Rd Ste 250, Southfield, MI 48034-1057 | 2006-01-23 |
| 1326036849 | Thomas M Flake Jr. | Surgery | 23077 Greenfield Rd, Suite 445, Southfield, MI 48075-3709 | 2005-10-10 |
| 1063037877 | Carly Beth Young | Surgery | 22250 Providence Dr Ste 703a, Southfield, MI 48075-6215 | 2020-06-08 |
| 1861016131 | Destiny Aighobahi | Surgery | 16001 W 9 Mile Rd Ofc, Southfield, MI 48075-4818 | 2020-06-03 |
| 1386268035 | Denas Andrijauskis | Surgery | 22250 Providence Dr, Southfield, MI 48075-4825 | 2020-05-28 |
| 1902460132 | Madan Mohan Reddy Paluru | Surgery | 22250 Providence Drive, Suite #703a, Southfield, MI 48075-4818 | 2019-04-23 |
| 1427611748 | Keith Peter Ameyaw | Surgery | 16001 W 9 Mile Rd Ofc, Southfield, MI 48075-4818 | 2019-04-22 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
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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.