Southfield Family Medical Center Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SOUTHFIELD FAMILY MEDICAL CENTER INC

Practice address

17401 W 12 Mile Rd
Lathrup Village, MI 48076-2135

Phone

(248) 569-8200

NPI assigned

Feb 2, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Joy Marshall

Title

Owner

Phone

(248) 569-8200

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Johnny Ray Trotter II, M.D.

  • Surgery Physician
  • Southfield, MI
  • NPI 1548441058
  NPD (past)

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1871731679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17401 W 12 MILE RD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762135",
            "telephone_number": "248-569-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17401 W 12 MILE RD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762135",
            "telephone_number": "248-569-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHFIELD FAMILY MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-02",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-569-8200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lajuana Smith
• Sobel Eye Care, PLLC
• Somewhere to Go Something to DO Adult Day Care LLC
• Melissa Soulliere, D.C.
• Southeast Michigan Medical Associates PC
• Southfield Medical Group PLLC
• Southfield Pain Mangement
• Southfield Pediatrics PLLC
• Specialty Medical Group
• Spectrum Medical Equipment Inc.

• Family Medicine Physician in Lathrup Village, MI
• Providers in Lathrup Village, 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 Feb 13, 2009; 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.