BORIVOJE TRIFUNOVIC


Address: 25710 Kelly Rd, Suite 3, Roseville, MI 48066-4959
Phone: 5867722600

BORIVOJE TRIFUNOVIC (NPI# 1730167644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730167644
Entity Type Individual
Full Name BORIVOJE TRIFUNOVIC
Credential MD
Practice Address 25710 Kelly Rd
Suite 3
Roseville
MI 48066-4959
Practice Telephone 5867722600
Practice Fax Number 5867725289
Mailing Telephone 5867722600
Mailing Fax Number 5867725289
Enumeration Date 2006-01-03
Last Update Date 2017-05-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 4301080193 MI Allopathic & Osteopathic Physicians
N 208M00000X Hospitalist 4301080193 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 4772374 05
MI 4784212 05
MI NPI 1730167644 01

Office Location

Street Address 25710 KELLY RD
SUITE 3
City ROSEVILLE
State MI
Zip Code 48066-4959

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326040510 Basem Almasri Family Medicine 25710 Kelly Rd, Ste 3, Roseville, MI 48066-4959 2005-06-01
1720511405 Innovation Medicine, Pllc Internal Medicine 25710 Kelly Rd, Ste 3, Roseville, MI 48066-4959 2017-04-10
1497104616 Jillian Tacia Dietitian, Registered 25710 Kelly Rd, Suite 3, Roseville, MI 48066-4959 2016-06-08
1134584279 Jagruti Patel Nurse Practitioner 25710 Kelly Rd, Suite 3, Roseville, MI 48066-4959 2015-12-16
1447488572 Josefine Lampasona Evola Dietitian, Registered 25710 Kelly Rd, Suite 3, Roseville, MI 48066-4959 2009-06-27
1164619623 J H Park Md PC Internal Medicine 25710 Kelly Rd, Ste 3, Roseville, MI 48066-4959 2007-09-28
1629119649 Eastland Diagnostic PC Clinic/Center 25710 Kelly Rd, Roseville, MI 48066-4959 2007-02-11
1982788980 Francisco J. Rodriguez Md PC Surgery 25710 Kelly Rd, Suite 2, Roseville, MI 48066-4959 2006-10-25
1801845946 Joung Ho Park Internal Medicine 25710 Kelly Rd, Ste 3, Roseville, MI 48066 2006-05-08
1376592691 Francisco J Rodriguez Surgery 25710 Kelly Rd, Suite 2, Roseville, MI 48066-4959 2006-05-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437761400 Louay Mansour Dds PC Dentist 27845 Gratiot Avenue, Roseville, MI 48066 2020-08-20
1558911842 Jomy Jose Nurse Practitioner 25719 Salem St, Roseville, MI 48066 2019-09-18
1053963033 Convenient Rv PC Dentist 19551 E. 10 Mile Rd, Roseville, MI 48066 2019-07-10
1063914539 Colleen Meriweather Registered Nurse 27300 Spruce, Rosevilel, MI 48066 2018-03-01
1326565789 Renee Suzette Hoelzeman Nurse Practitioner 18472 Meier St, Roseville, MI 48066 2017-08-27
1225561400 Eugenia Dillard Counselor 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 2017-04-05
1932651338 Julie Plichota Physical Therapist 31120 Gratiot Ave, Roseville, MI 48066 2016-11-01
1699221325 Jaquenta Glasker Technician, Other 26778 Rosewood, Roseville, MI 48066 2016-09-01
1609296144 Peter Jajou Dermatology 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 2014-04-23
1619393899 Katherine Michelle Johnson Obstetrics & Gynecology 29751 Little Mack Ave Ste B, Roseville, MI 48066 2014-03-11
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336669233 Medpro Inc Internal Medicine 1420 E Roseville Pkway, Suite #140-503, Roseville, CA 95661 2017-06-21
1649686684 Nivano Care Medical Group Inc Internal Medicine 729 Sunrise Ave Ste 601, Roseville, CA 95661-4542 2014-07-10
1417373754 Troy Andrew Singh Internal Medicine 906b Cirby Way, Roseville, CA 95661-4420 2014-03-11
1639515190 Hong J Son Internal Medicine 1872 Granite Way, Roseville, CA 95747-4930 2013-05-10
1437482981 Sudha Nannapaneni Md Pllc Internal Medicine 18285 E 10 Mile Rd Ste 120, Roseville, MI 48066-5806 2009-09-16
1962667204 Neha Dang Internal Medicine 3100 Douglas Blvd Ste 200, Roseville, CA 95661-3868 2008-07-25
1093979593 Farah Kirma Salem Internal Medicine 18263 E 10 Mile Rd Ste D, Roseville, MI 48066-5805 2008-07-14
1417120783 Khushwinder Singh Garcha Internal Medicine 588 N Sunrise Ave Ste 120, Roseville, CA 95661-2843 2008-04-08
1417125519 Raied M Hanna Internal Medicine 26390 Gratiot Ave, Roseville, MI 48066-5106 2008-02-12
1205022084 Wasim H. Raja Internal Medicine 101 Emma Ct, Roseville, CA 95661-3239 2007-09-14
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Competitor

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City ROSEVILLE
Zip Code 48066

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Dataset Information

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.

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