Organization Active NPI

William R. Truluck II DO PLLC

Doing business as Great Lakes Hand Surgery Center

  • Orthopaedic Hand Surgery Physician
  • Okemos, MI
National Provider Identifier
1720216187
Registry record updated Jun 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
Legal business name
WILLIAM R. TRULUCK II DO PLLC
Doing business as
Great Lakes Hand Surgery Center
Practice address
3945 Okemos Rd Ste B4
Okemos, MI 48864
Phone
(517) 908-3360
Fax
(517) 908-3368
NPI assigned
Jun 24, 2009
Last updated
Jun 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2018

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

Authorized official

Name
Dr. William R Truluck II, DONPI 1962617639
Title
President
Phone
(517) 908-3360

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X NU Primary

Addresses

Primary practice location

3945 Okemos Rd Ste B4
Okemos, MI 48864

Mailing address

3945 Okemos Rd Ste B4
Okemos, MI 48864-4207
Phone (517) 908-3360

Other names 1

  • Great Lakes Hand Surgery Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090929000571 MI Part B Supplier - Clinic/Group Practice 9739225020 Receives reassigned benefits from 1 practitioner
Practice locations: Okemos, MI

National Provider Directory

National Provider Directory

Locations

3945 Okemos Rd
Ste B4
Okemos, MI 48864
Phone (517) 908-3360

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529020800000",
    "number": "1720216187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3945 OKEMOS RD STE B4",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488644207",
            "telephone_number": "517-908-3360",
            "fax_number": "517-908-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3945 OKEMOS RD STE B4",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "48864",
            "telephone_number": "517-908-3360",
            "fax_number": "517-908-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM R. TRULUCK II DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2018-06-15",
        "status": "A",
        "authorized_official_last_name": "TRULUCK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-908-3360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Lakes Hand Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Great Lakes Hand Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.