Organization Active NPI

Floyd Trillis, Jr., MD, Inc.

  • Surgery Physician
  • Westlake, OH
National Provider Identifier
1205028818
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35049953 Issued in OH
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

Updated by the provider on Aug 16, 2007

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0642997MedicaidOH

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.