Active NPI
Matthew Troup, PA-C
- Physician Assistant
- Evanston, IL
National Provider Identifier
1639404882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085003627
- Practice address
- 2650 Ridge Ave
Evanston, IL 60201-1718 - Phone
- (847) 570-2000
- NPI assigned
- Oct 6, 2009
- Last updated
- Oct 6, 2009
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085003627 | IL | Primary |
Addresses
Primary practice location
2650 Ridge Ave
Evanston, IL 60201-1718
Mailing address
8 E Randolph St
Chicago, IL 60601-3622
Phone (989) 615-7596
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
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254787200000",
"number": "1639404882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 E RANDOLPH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606013622",
"telephone_number": "989-615-7596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011718",
"telephone_number": "847-570-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROUP",
"first_name": "MATTHEW",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-06",
"last_updated": "2009-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085003627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evanston, IL
- Trio Health Medical Il Physiatry Partners PLLC
- Trio Health Medical Il Physiatry Partners SC
- Trio Health Medical Il Psychiatry Partners PLLC
- Trio Health Medical Il Psychiatry Partners SC
- Alexis Trocki
- Hannah Truckenbrod
- Truescan Medical and Wellness Group LLC
- Carolyn Trujillo, LCSW
- Hong Hieu Truong, MD
- Kathy Buchanan Trusdell, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.