Joseph Lavern Trollman Jr., DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101005954 Issued in MI

Practice address

201 E Caroline St
Fenton, MI 48430-2105

Phone

(810) 629-4187

Fax

(810) 629-9662

NPI assigned

Mar 26, 2007

Last updated

Sep 10, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Family PracticeAlso: General Practice, Osteopathic Manipulative Medicine, Preventive Medicine

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 1968

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Fenton Clinic

  • Primary Care Clinic/Center
  • Fenton, MI
  • NPI 1699949610
  NPD (past) Authorized official

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1811014491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "48430",
            "telephone_number": "810-629-4187",
            "fax_number": "810-629-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E CAROLINE ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302105",
            "telephone_number": "810-629-4187",
            "fax_number": "810-629-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROLLMAN",
        "first_name": "JOSEPH",
        "middle_name": "LAVERN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101005954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0152524585",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001880",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Total Imaging, LLC
• Total Renal Care Inc (Fenton Dialysis)
• James L Tougas, AG-NP
• Michael Treysman
• Tri County Chiropractic of Michigan Inc.
• Tru Dental Michigan PC (Tru Family Dental - Fenton)
• Emily Ann Turkiela, NP
• Faith Elizabeth Turvey, LMSW
• April B Tyler, D.O.
• Felicity Tyll

• Family Medicine Physician in Fenton, MI
• Providers in Fenton, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.