Individual provider Active NPI

Tracey Lynne Venning, M.D.

  • Emergency Medicine Physician
  • Canton, MI
National Provider Identifier
1730218967
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301084094 Issued in MI
Practice address
1600 S Canton Center Rd
Canton, MI 48188-1992
Phone
(734) 844-8743
Fax
(734) 844-8744
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301084094 MI Primary

Addresses

Primary practice location

1600 S Canton Center Rd
Canton, MI 48188-1992

Mailing address

24 Frank Lloyd Wright Dr Ste J2000
Ann Arbor, MI 48105-9484
Phone (734) 747-6766

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
I20070613000066 MI Practitioner - Emergency Medicine 1052419173 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

40600 Ann Arbor Rd E
Suite 200
Plymouth, MI 48170-4675
Phone (310) 445-5999

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue55
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Skilled Facility Health Care Solutions Inc CurrentSince Jun 6, 2022 Accepting new patients
St Joseph Mercy Hospital CurrentSince Dec 12, 2018 Accepting new patients
St Joseph Mercy Hospital Emergency Medicine CurrentSince Dec 12, 2018 Accepting new patients
Skilled Biologics, Inc. CurrentSince Aug 4, 2024 Accepting new patients
St Joseph Mercy Hospital Current Accepting new patients
Emergency Professionals of Michigan, P.C. Emergency Medicine CurrentSince May 1, 2014 Accepting new patients

Locations

3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387

1600 S Canton Center Rd
Canton, MI 48188
Phone (734) 398-7557

7300 N Canton Center Rd
Canton, MI 48187
Phone (734) 454-8001

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

3003 W Grand River Ave
Howell, MI 48843
Phone (517) 323-9133

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

40600 Ann Arbor Rd E
Ste 200
Plymouth, MI 48170

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246

Interoperability endpoints

  • Direct secure messaging: tvenning23962@direct.trinity-health.org

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1730218967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DR STE J2000",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059484",
            "telephone_number": "734-747-6766",
            "fax_number": "734-222-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481881992",
            "telephone_number": "734-844-8743",
            "fax_number": "734-844-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENNING",
        "first_name": "TRACEY",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301084094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

Verify at the official NPI Registry.