1457484032 NPI number — R.S. TROIANO, M.D., P.C.

Table of content: (NPI 1457484032)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457484032 NPI number — R.S. TROIANO, M.D., P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
R.S. TROIANO, M.D., P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1457484032
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/08/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8921 SOUTHPOINTE DR
Provider Second Line Business Mailing Address:
SUITE A-1
Provider Business Mailing Address City Name:
INDIANAPOLIS
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46227-0969
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
317-780-7400
Provider Business Mailing Address Fax Number:
317-780-7474

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8921 SOUTHPOINTE DR
Provider Second Line Business Practice Location Address:
SUITE A-1
Provider Business Practice Location Address City Name:
INDIANAPOLIS
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46227-0969
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
317-780-7400
Provider Business Practice Location Address Fax Number:
317-780-7474
Provider Enumeration Date:
03/13/2007

Additional Information

Authorized Official

Authorized Official Last Name:
TROIANO
Authorized Official First Name:
RICHARD
Authorized Official Middle Name:
S.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
317-780-7400

Provider Taxonomy Codes

  • Taxonomy code: 208200000X , with the licence number:  01037565 , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2082S0099X , with the licence number: 01037565 , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2082S0105X , with the licence number: 01037565 , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 2086S0105X , with the licence number: 01037565 , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2086S0122X , with the licence number: 01037565 , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 100099540E , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".




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