NPIMap

Organization Active NPI

Troy Pediatrics Inc

  • Pediatrics Physician
  • Troy, OH
National Provider Identifier
1700081551
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35036779 Issued in OH
Legal business name
TROY PEDIATRICS INC
Practice address
1405 Stonycreek Rd
Troy, OH 45373
Phone
(937) 335-1806
Fax
(937) 335-1749
NPI assigned
Jun 20, 2007
Last updated
Mar 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Authorized official

Name
Kathy Greene
Title
Insurance Billing
Phone
(937) 335-1806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35036779 OH Primary

Addresses

Primary practice location

1405 Stonycreek Rd
Troy, OH 45373

Mailing address

1405 Stonycreek Rd
Troy, OH 45373
Phone (937) 335-1806

Other identifiers 1

IdentifierTypeStateIssuer
0735931MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Troy Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1700081551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 STONYCREEK RD",
            "city": "TROY",
            "state": "OH",
            "postal_code": "45373",
            "telephone_number": "937-335-1806",
            "fax_number": "937-335-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 STONYCREEK RD",
            "city": "TROY",
            "state": "OH",
            "postal_code": "45373",
            "telephone_number": "937-335-1806",
            "fax_number": "937-335-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROY PEDIATRICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "INSURANCE BILLING",
        "authorized_official_telephone_number": "937-335-1806"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35036779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0735931",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.