Individual provider Active NPI

Troy Blagrave, M.D.

  • Diagnostic Radiology Physician
  • Canton, OH
National Provider Identifier
1447465844
Registry record updated Aug 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301095822 Issued in 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
Last updated
Aug 2, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301095822 MI Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110216000706 OH Practitioner - Diagnostic Radiology 7810028909 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Ohio, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wooster Clinic LLCGroup PAC ID 6800708124, 290 clinicians
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians
Clinic Medical Services CompanyGroup PAC ID 5698674653, 201 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wooster Clinic, LLC CurrentSince Oct 21, 2014 Accepting new patients
Clinic Medical Services Company Diagnostic Radiology CurrentSince Jan 1, 2015 Accepting new patients
Clinic Medical Services Company LLC Diagnostic Radiology CurrentSince Jan 1, 2015 Accepting new patients
Children's Hospital Medical Center of Akron CurrentSince Feb 19, 2020 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Oct 21, 2014 Accepting new patients
Children's Hospital Medical Center of Akron Diagnostic Radiology CurrentSince Feb 19, 2020 Accepting new patients
Children's Hospital Medical Center of Akron Current Accepting new patients

Locations

1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050

224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505

224 W Exchange St
Ste 225
Akron, OH 44302
Phone (330) 344-7400

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

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280707200000",
    "number": "1447465844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 6TH ST SW",
            "address_2": "MEDICAL EDUCATION",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447101702",
            "telephone_number": "330-363-4899",
            "fax_number": "330-580-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 6TH ST SW",
            "address_2": "MEDICAL EDUCATION",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447101702",
            "telephone_number": "330-363-4899",
            "fax_number": "330-580-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAGRAVE",
        "first_name": "TROY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2010-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301095822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.