NPIMap

Organization Active NPI

William R. Troup M.D.

  • Family Medicine Physician
  • Johnson, KS
National Provider Identifier
1295815041
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14677 Issued in KS
Legal business name
WILLIAM R. TROUP M.D.
Practice address
101 E Greenwood Avenue North
Johnson, KS 67855-0699
Phone
(620) 492-6230
Fax
(620) 492-2309
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William Roger Troup, M.D.
Title
Owner
Phone
(620) 492-6230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 14677 KS Primary

Addresses

Primary practice location

101 E Greenwood Avenue North
Johnson, KS 67855-0699

Mailing address

PO Box 699
101 E Greenwood Ave
Johnson, KS 67855-0699
Phone (620) 492-6230

Other identifiers 1

IdentifierTypeStateIssuer
43182356MedicaidCO

National Provider Directory

National Provider Directory

Locations

101 E Greenwood Ave
Johnson, KS 67855
Phone (620) 492-6230

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295815041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 699",
            "address_2": "101 E GREENWOOD AVE",
            "city": "JOHNSON",
            "state": "KS",
            "postal_code": "678550699",
            "telephone_number": "620-492-6230",
            "fax_number": "620-492-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E GREENWOOD AVENUE NORTH",
            "city": "JOHNSON",
            "state": "KS",
            "postal_code": "678550699",
            "telephone_number": "620-492-6230",
            "fax_number": "620-492-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM R. TROUP M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TROUP",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-492-6230",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "14677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43182356",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.