Active NPI
Elliott V Troup, MD
- Ophthalmology Physician
- Saint Paul, MN
National Provider Identifier
1467402644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 18795
- Practice address
- 409 Dunlap St N
Saint Paul, MN 55104-4201 - Phone
- (651) 290-9200
- Fax
- (651) 290-9210
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 18795 | MN | Primary |
Addresses
Primary practice location
409 Dunlap St N
Saint Paul, MN 55104-4201
Mailing address
409 Dunlap St N
Saint Paul, MN 55104-4201
Phone (651) 290-9200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18795 | MN | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Paul Eye Clinic PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Eyewear Supplier
- Woodbury, MN
- NPI 1669574646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359763200000",
"number": "1467402644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 DUNLAP ST N",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551044201",
"telephone_number": "651-290-9200",
"fax_number": "651-290-9210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 DUNLAP ST N",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551044201",
"telephone_number": "651-290-9200",
"fax_number": "651-290-9210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROUP",
"first_name": "ELLIOTT",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2013-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MN",
"license": "18795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.