DR. RICHARD FLOYD TREVIS (NPI# 1447594577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447594577 |
| Entity Type | Individual |
| Full Name | DR. RICHARD FLOYD TREVIS |
| Credential | D.O. |
| Practice Address |
8782 Stoney Creek Dr South Lyon MI 48178-9492 |
| Practice Telephone | 2484374945 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
5101005046 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
8782 STONEY CREEK DR |
| City | SOUTH LYON |
| State | MI |
| Zip Code | 48178-9492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083231815 | Bhoomi Shah | Pharmacist | 22318 Pontiac Trail, South Lyon, MI 48178 | 2020-06-27 |
| 1649811845 | Center for Emdr and Trauma Therapy | Counselor | 28900 Pontiac Trail, South Lyon, MI 48178 | 2019-09-30 |
| 1295223386 | Cathrine Michelle Arneson | Massage Therapist | 321 Pettibone St. #101a, South Lyon, MI 48178 | 2018-04-25 |
| 1033592936 | 4-serv Family Medicine P.C. | Family Medicine | 51619 Ten Mile Rd, South Lyon, MI 48178 | 2015-07-09 |
| 1003299777 | James Sullivan | Physical Therapy Assistant | 10821 Bouldercrest Drive, South Lyon, MI 48178 | 2015-06-30 |
| 1255722088 | Jennifer Nidetz | Social Worker | 23015 Cheyenne Dr, South Lyon, MI 48178 | 2015-02-16 |
| 1174938658 | Michael Samir Matar | Family Medicine | 210 N Lafayette Street, South Lyon, MI 48178 | 2014-06-24 |
| 1043633191 | Kwonsoo Kenneth Kim | Anesthesiology | 8854 Stoney Creek Dr., South Lyon, MI 48178 | 2014-01-27 |
| 1285071860 | Ajanthan Sivagurunathan | Student in an Organized Health Care Education/Training Program | 210 North Lafayette, Providence Medical Center - South Lyon, South Lyon, MI 48178 | 2013-05-23 |
| 1184890055 | Yvonne Marie Snyder | Dentist | 100 E Lake St, South Lyon, MI 48178 | 2008-05-01 |
| Find all providers in zip 48178 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033717632 | Visiting Caring Doctors Plc | Family Medicine | 18000 W 9 Mile Rd Ste 700l, Southfield, MI 48075-4009 | 2020-10-15 |
| 1265045389 | Synchronymd Limited Liability Company | Family Medicine | 1578 Scenic Hollow Dr, Rochester Hills, MI 48306-3246 | 2020-08-28 |
| 1063045839 | Rtsmedicalgroupllc | Family Medicine | 5210 Yorkshire Rd, Detroit, MI 48224-2139 | 2020-02-19 |
| 1194234120 | Prime Mobile Care Incorporated | Family Medicine | 17515 W 9 Mile Rd Ste 375, Southfield, MI 48075-4404 | 2017-09-21 |
| 1093233132 | Right At Home Physicians Pllc | Family Medicine | 22001 Kelly Rd Ste 2, Eastpointe, MI 48021-2726 | 2017-09-08 |
| 1821531831 | Ant Hill, Inc. | Family Medicine | 21 Midland St, Highland Park, MI 48203-3727 | 2016-11-22 |
| 1518419043 | Alma Care Visiting Services | Family Medicine | 11352 Gabriel St, Romulus, MI 48174-1431 | 2016-11-01 |
| 1801341821 | Bridgette Defrance | Family Medicine | 42074 Greenwood Dr, Canton, MI 48187-3615 | 2016-08-19 |
| 1417311762 | Adam Wolfe | Family Medicine | 1101 W University Dr # 2-south, Rochester, MI 48307-1863 | 2016-04-12 |
| 1801255906 | Westland Primary Care Pllc | Family Medicine | 8311 N Wayne Rd, Westland, MI 48185-1351 | 2016-02-17 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH LYON |
| Zip Code | 48178 |
Please comment or provide details below to improve the information on DR. RICHARD FLOYD TREVIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.