1386629715 NPI number — DR. KATHRIN MAYER TROPPMANN MD

Table of content: DR. KATHRIN MAYER TROPPMANN MD (NPI 1386629715)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386629715 NPI number — DR. KATHRIN MAYER TROPPMANN MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TROPPMANN
Provider First Name:
KATHRIN
Provider Middle Name:
MAYER
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MAYER
Provider Other First Name:
KATHRIN
Provider Other Middle Name:
LENI
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1386629715
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2315 STOCKTON BLVD
Provider Second Line Business Mailing Address:
DEPARTMENT OF SURGERY
Provider Business Mailing Address City Name:
SACRAMENTO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95817-2201
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
916-734-2668
Provider Business Mailing Address Fax Number:
916-734-3951

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2315 STOCKTON BLVD
Provider Second Line Business Practice Location Address:
DEPARTMENT OF SURGERY
Provider Business Practice Location Address City Name:
SACRAMENTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95817-2201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-734-2668
Provider Business Practice Location Address Fax Number:
916-734-3951
Provider Enumeration Date:
12/08/2005

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: 208600000X , with the licence number:  G78391 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 208600000X , with the licence number: ME 84309 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





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