Active NPI
Theodore E Troe, MD
- Anatomic Pathology & Clinical Pathology Physician
- Naperville, IL
National Provider Identifier
1467530493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Practice address
- 801 S Washington Street
Edward Hospital
Naperville, IL 60566-7060 - Phone
- (630) 355-0450
- Fax
- (630) 527-3911
- NPI assigned
- Nov 1, 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | IL | Primary |
Addresses
Primary practice location
801 S Washington Street
Edward Hospital
Naperville, IL 60566-7060
Mailing address
Department 4387
Carol Stream, IL 60122-4387
Phone (630) 355-0450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0361066691 | Medicaid | IL |
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 |
|---|---|---|---|
| 036106669 | IL | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467530493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPARTMENT 4387",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601224387",
"telephone_number": "630-355-0450",
"fax_number": "630-527-3911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 S WASHINGTON STREET",
"address_2": "EDWARD HOSPITAL",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605667060",
"telephone_number": "630-355-0450",
"fax_number": "630-527-3911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROE",
"first_name": "THEODORE",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0361066691",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.