Troy C. Stober, M.D., L.L.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD24154 Issued in OR

Legal business name

TROY C. STOBER, M.D., L.L.C.

Practice address

14279 S Glen Oaks Rd
Oregon City, OR 97045-8008

Phone

(503) 697-0190

NPI assigned

Mar 23, 2018

Last updated

Mar 23, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberlee Schlimgen

Title

Clinic Manager

Phone

(503) 722-9833

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521763200000",
    "number": "1316442254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14279 S GLEN OAKS RD",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970458008",
            "telephone_number": "503-697-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14279 S GLEN OAKS RD",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970458008",
            "telephone_number": "503-697-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROY C. STOBER, M.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-23",
        "last_updated": "2018-03-23",
        "status": "A",
        "authorized_official_last_name": "SCHLIMGEN",
        "authorized_official_first_name": "KIMBERLEE",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "503-722-9833"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD24154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286591",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Traust Care Center, LLC
• Mauri Traylor, CRNA
• Danny Trevitts
• Danielle Butsch Trifonov, LCSW
• Alyssa Troccoli, BA
• Tessa Marie Tschantre
• Marat Tselnik, DDS
• Anna Marian Tubman, MD
• Erica Lynn Gelder Tucker Flores, QMHA 1, MSW INTERN
• Cory Dean Tucker, CRM-PSS

• Pediatrics Physician in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; 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.