Individual provider Active NPI

Wayne Trevor, J North, MD

  • Orthopaedic Surgery Physician
  • Detroit, MI
National Provider Identifier
1508166513
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4301096246 Issued in MI
Practice address
2799 W Grand Blvd
12TH Floor K Building
Detroit, MI 48202-2608
Phone
(248) 904-8743
NPI assigned
Oct 25, 2010
Last updated
Jul 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 35.125720 OH
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 4301096246 MI
Orthopaedic Surgery Physician 207X00000X 4301096246 MI Primary

Addresses

Primary practice location

2799 W Grand Blvd
12TH Floor K Building
Detroit, MI 48202-2608

Mailing address

2799 W Grand Blvd
12TH Floor K Building -
Detroit, MI 48202-2608
Phone (248) 904-8743

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
I20170103000032 MI Practitioner - Orthopedic Surgery 3971735267 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Semi Medical GroupGroup PAC ID 0648180406, shared by 4 NPIs, 246 clinicians
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

Practice addresses (Care Compare)

15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone (586) 263-2300

17900 23 Mile Rd
Macomb, MI 48044-1161
Phone (313) 647-3900

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600

44003 Partridge Creek Blvd
Clinton TWP, MI 48038-0002
Phone (342) 627-3267

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement69
Knee replacement125
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301096246MIMDOrthopaedic Surgery Physician
35.125720OHMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Hospital Corporation CurrentSince Jul 19, 2023 Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Macomb Hospital Corporation Current Accepting new patients
Henry Ford Health System Orthopaedic Surgery CurrentSince Nov 27, 2016 Accepting new patients
Henry Ford Macomb Hospital Corporation Orthopaedic Surgery CurrentSince Jul 19, 2023 Accepting new patients
Henry Ford Health System CurrentSince Nov 27, 2016 Accepting new patients
Henry Ford Maplegrove Center Past Accepting new patients

Locations

15520 19 Mile Rd
Ste 430
Clinton Twp, MI 48038
Phone (586) 228-6200

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

2799 W Grand Blvd
#363
Detroit, MI 48202
Phone (313) 916-2020

2799 W Grand Blvd
Fl 12
Detroit, MI 48202
Phone (248) 904-8743

159 Kercheval Ave
Grosse Pointe Farms, MI 48236
Phone (313) 640-1000

40777 Ann Arbor Rd E
Plymouth, MI 48170
Phone (734) 738-2073

14500 Hall Rd
Sterling Hts, MI 48313
Phone (586) 247-2700

6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000

Interoperability endpoints

  • Direct secure messaging: wnorth13584@direct.hfhs.org

Organizations & group practices 7

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

Hospital & facility affiliations 6

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": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1508166513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "address_2": "12TH FLOOR K BUILDING -",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "248-904-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "address_2": "12TH FLOOR K BUILDING",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "248-904-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTH",
        "first_name": "WAYNE",
        "middle_name": "TREVOR, J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-25",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "OH",
            "license": "35.125720",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MI",
            "license": "4301096246",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301096246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.