Grace Family Health Center PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GRACE FAMILY HEALTH CENTER PC

Practice address

4910 Cadieux
Detroit, MI 48224-2273

Phone

(313) 417-1010

NPI assigned

Feb 7, 2009

Last updated

Apr 30, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John R. Trotter II, M.D.

Title

Owner

Phone

(248) 559-7730

Specialties & licenses 1

Addresses

Locations

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.

• Sunanda Nioguy, MD

  • Neurology Physician
  • Oak Park, MI
  • NPI 1427197417
  NPD (past)
• 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": "1233964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241049600000",
    "number": "1912146408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20905 GREENFIELD RD",
            "address_2": "SUITE 303",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755360",
            "telephone_number": "248-559-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 CADIEUX",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482242273",
            "telephone_number": "313-417-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE FAMILY HEALTH CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-07",
        "last_updated": "2009-04-30",
        "status": "A",
        "authorized_official_last_name": "TROTTER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-559-7730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace and Comfort LLC
• Grace and Peace Home Health Agency LLC
• Grace and Peace Home Health Agency LLC
• Grace by Faith Senior Center LLC
• Grace Care Pharmacy LLC (Grace Care Pharmacy)
• Grace Medical Pharmacy LLC
• Grace Neonatologists PC
• Grace OB GYN PC
• Grace Realty LLC
• Grace University Medical Group

• Family Medicine Physician in Detroit, MI
• Providers in Detroit, 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 Apr 30, 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.