Active NPI
Floyd Trillis, Jr., MD, Inc.
- Surgery Physician
- Westlake, OH
National Provider Identifier
1205028818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 35049953
- Legal business name
- FLOYD TRILLIS, JR., MD, INC.
- Practice address
- 29099 Health Campus Dr
Suite # 225
Westlake, OH 44145-5200 - Phone
- (440) 835-6116
- NPI assigned
- Aug 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Floyd Trillis Jr., M.D.
- Title
- Owner
- Phone
- (440) 835-6116
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35049953 | OH | Primary |
Addresses
Primary practice location
29099 Health Campus Dr
Suite # 225
Westlake, OH 44145-5200
Mailing address
29099 Health Campus Dr
Suite # 225
Westlake, OH 44145-5200
Phone (440) 835-6116
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0642997 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
29099 Health Campus Dr
Ste 225
Westlake, OH 44145
Phone (440) 835-6116
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgical Physician Assistant
- Westlake, OH
- NPI 1316074222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187222400000",
"number": "1205028818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29099 HEALTH CAMPUS DR",
"address_2": "SUITE # 225",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441455200",
"telephone_number": "440-835-6116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29099 HEALTH CAMPUS DR",
"address_2": "SUITE # 225",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441455200",
"telephone_number": "440-835-6116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLOYD TRILLIS, JR., MD, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-16",
"last_updated": "2007-08-16",
"status": "A",
"authorized_official_last_name": "TRILLIS",
"authorized_official_first_name": "FLOYD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "440-835-6116",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "OH",
"license": "35049953",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0642997",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westlake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.