Troy Blagrave, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Canton, OH
NPI 1447465844 · NPPES record last updated Aug 2, 2010
Key facts
- NPI
- 1447465844
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 4301095822 (MI)
- Practice address
- 2600 6TH St SW
Medical Education
Canton, OH 44710-1702 - Phone
- (330) 363-4899
- Fax
- (330) 580-5513
- NPI assigned
- May 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 27
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Medical College of Ohio, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wooster Clinic LLC
Cleveland Clinic
Clinic Medical Services Company
Practice addresses (Care Compare)
1740 Cleveland Rd
Wooster, OH 44691-2204
Phone (330) 287-4500
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-2200
Hospital & facility affiliations
- Akron General Medical Center
- Mercy Medical Center
- Lodi Community Hospital
- Cleveland Clinic
- Hillcrest Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110216000706 | OH | Practitioner - Diagnostic Radiology | 7810028909 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301095822 | MI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Medical Center of Akron | Diagnostic Radiology | Current |
Accepting new patients |
| The Cleveland Clinic Foundation | Current |
Accepting new patients | |
| Clinic Medical Services Company | Diagnostic Radiology | Current |
Accepting new patients |
| Wooster Clinic, LLC | Current |
Accepting new patients | |
| Children'S Hospital Medical Center of Akron | Current |
Accepting new patients | |
| Clinic Medical Services Company LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Children'S Hospital Medical Center of Akron | Current | Accepting new patients |
Locations
224 W Exchange St
Ste 225
Akron, OH 44302
Phone (330) 344-7400
224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505
1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050
2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919
2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
1587 Boettler Rd
Green, OH 44685
Phone (330) 896-3447
1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 4301095822 | MI | Yes |
Addresses
Primary practice location
2600 6TH St SW
Medical Education
Canton, OH 44710-1702
Mailing address
2600 6TH St SW
Medical Education
Canton, OH 44710-1702
Phone (330) 363-4899
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447465844 | Medicaid | MI |
Other providers in Canton, OH
- Qayonna Nikole Blackmon
- Robin C-a Blackshear
- Christina Blackwell
- Donna Fall Blackwell
- Lisa Blackwell
- Michele Pollak Blaho
- Brian J Blake
- Brittany Ann Blake
- Lynn Blakeney
- Bob Blamo
All providers in Canton, OH · Diagnostic Radiology Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.