DR. TODD THORNTON LAVERY (NPI# 1497995641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497995641 |
| Entity Type | Individual |
| Full Name | DR. TODD THORNTON LAVERY |
| Credential | M.D. |
| Practice Address |
4160 John R St Ste 615 Detroit MI 48201-2022 |
| Mailing Address |
1560 E Maple Rd Suite 400- Credentialing Department Troy MI 48083-1138 |
| Practice Telephone | 3137458773 |
| Practice Fax Number | 3139930595 |
| Mailing Telephone | 2485815974 |
| Mailing Fax Number | 2485815640 |
| Enumeration Date | 2009-03-01 |
| Last Update Date | 2015-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 4301090570 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
4160 JOHN R ST STE 615 |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831711928 | Ucheze Chinwendu Ononuju | Student in an Organized Health Care Education/Training Program | 4160 John R St Ste 615, Detroit, MI 48201-2022 | 2020-05-11 |
| 1962024497 | Erica Maduakolam | Student in an Organized Health Care Education/Training Program | 4160 John R St Ste 615, Detroit, MI 48201-2022 | 2020-05-06 |
| 1477173912 | Lindsay Blair Howard | Surgery | 4160 John R St Ste 615, Detroit, MI 48201-2022 | 2020-04-24 |
| 1982224614 | Benjamin T James | Student in an Organized Health Care Education/Training Program | 4160 John R St Ste 615, Detroit, MI 48201-2022 | 2020-04-22 |
| 1588207948 | Ryan Douglas Rosen | Student in an Organized Health Care Education/Training Program | 4160 John R St Ste 615, Detroit, MI 48201-2022 | 2019-10-17 |
| 1467016642 | Paige Aiello | Student in an Organized Health Care Education/Training Program | 4160 John R St Ste 615, Detroit, MI 48201-2022 | 2019-04-24 |
| 1922661313 | Ryan H. Berry | Internal Medicine | 4160 John R St Ste 615, Detroit, MI 48201-2022 | 2019-04-21 |
| 1518456763 | Maseray Saidu Kamara | Student in an Organized Health Care Education/Training Program | 4160 John R St Ste 615, Detroit, MI 48201-2022 | 2018-05-03 |
| 1861989410 | Brittany R Milliner | Student in an Organized Health Care Education/Training Program | 4160 John R St Ste 615, Detroit, MI 48201-2022 | 2018-04-19 |
| 1013414432 | Michael Thomas Fry | Student in an Organized Health Care Education/Training Program | 4160 John R St Ste 615, Detroit, MI 48201-2022 | 2018-04-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366881096 | Jennifer Ashley Cirino | Surgery | 2799 W Grand Blvd # 126, Detroit, MI 48202-2689 | 2013-06-15 |
| 1073856035 | Asra Hashmi | Surgery | 4201 St.antoine Street, 6c, Uhc, Detroit, MI 48201 | 2013-03-28 |
| 1396086997 | Ryan E Shelden | Surgery | 6001 West Outer Drive, Detroit, MI 48235 | 2013-03-06 |
| 1598029985 | Uzma Naim | Surgery | 200 Riverfront Dr, Apt 23c, Detroit, MI 48226-4525 | 2012-06-29 |
| 1336435494 | Inna Neyman Lobeck | Surgery | 4201 St. Antoine, 6c-university Health Center, Department of Surgery, Wayne State University, Detroit, MI 48201 | 2011-06-27 |
| 1235434770 | Amer Ali Almohssen | Surgery | 4201 St. Antoine, 6th Floor, 313-577-5013, Detroit, MI 48201 | 2011-01-13 |
| 1407166432 | Majid Toseef Aized | Surgery | 9c,4201 St. Antoine Blvd, Graduate Medical Education,detroit Receiving Hospital, Detroit, MI 48201 | 2010-10-08 |
| 1104067552 | Furrukh Jabbar | Surgery | 1 St Antoine Street, Detroit Receiving Hospital, Detroit, MI 48201 | 2009-03-16 |
| 1982851028 | Kaushik Mandal | Surgery | 6001 W Outer Dr Ste 300, Detroit, MI 48235-2626 | 2008-08-20 |
| 1083625032 | Earle W Spohn Jr. | Surgery | 7815 East Jefferson, Suite 3d, Detroit, MI 48214 | 2006-08-11 |
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| 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.