1720075088 NPI number — SCOTT E. TROPPER MD

Table of content: SCOTT E. TROPPER MD (NPI 1720075088)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720075088 NPI number — SCOTT E. TROPPER MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TROPPER
Provider First Name:
SCOTT
Provider Middle Name:
E.
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1720075088
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/21/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12251 N 32ND ST
Provider Second Line Business Mailing Address:
STE 12
Provider Business Mailing Address City Name:
PHOENIX
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85032-7144
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
602-971-0950
Provider Business Mailing Address Fax Number:
602-992-4971

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12251 N 32ND ST
Provider Second Line Business Practice Location Address:
STE 12
Provider Business Practice Location Address City Name:
PHOENIX
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85032-7144
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-945-6896
Provider Business Practice Location Address Fax Number:
480-945-7287
Provider Enumeration Date:
10/03/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2085R0001X , with the licence number:  22917 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 174400000X , with the licence number: AZ22917 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0004522567 . This is a "AETNA PROVIDER NUMBER" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".
  • Identifier: 7175845 . This is a "CIGNA PROVIDER NUMBER" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".
  • Identifier: 00009262 . This is a "SCHALLER ANDSN. PROV. #" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".
  • Identifier: 340894 . This is a "AZ. HLTH CARE PROVIDER #" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".
  • Identifier: 340894002 . This is a "MERCY CARE PLAN PROV. #" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".
  • Identifier: AZ0784120 . This is a "BCBS OF AZ. PROVIDER #" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".
  • Identifier: 2340894 . This is a "HEALTH CHOICE PROV. #" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".
  • Identifier: 340894 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com