Organization Active NPI

Trapp Medical Associates, S.C.

  • Internal Medicine Physician
  • Kankakee, IL
National Provider Identifier
1861569170
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036095931 Issued in IL
Legal business name
TRAPP MEDICAL ASSOCIATES, S.C.
Practice address
70 Meadowview Ctr
Suite 303
Kankakee, IL 60901-2047
Phone
(815) 929-9395
Fax
(815) 929-9396
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Authorized official

Name
Dr. Gregory Todd Trapp, MD
Title
President
Phone
(815) 935-1100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 036095931 IL Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 036095931 IL

Addresses

Primary practice location

70 Meadowview Ctr
Suite 303
Kankakee, IL 60901-2047

Mailing address

70 Meadowview Ctr
Suite 303
Kankakee, IL 60901-2047
Phone (815) 935-1100

Other identifiers 3

IdentifierTypeStateIssuer
036095931MedicaidIL
DF2933OtherILRR MEDICARE GROUP
04632084OtherILBCBS IL

National Provider Directory

National Provider Directory

Locations

70 Meadowview Ctr
Ste 303
Kankakee, IL 60901
Phone (815) 929-9395

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1861569170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MEADOWVIEW CTR",
            "address_2": "SUITE 303",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012047",
            "telephone_number": "815-935-1100",
            "fax_number": "815-937-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MEADOWVIEW CTR",
            "address_2": "SUITE 303",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012047",
            "telephone_number": "815-929-9395",
            "fax_number": "815-929-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAPP MEDICAL ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "TRAPP",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-935-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036095931",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036095931",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036095931",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "DF2933",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL",
            "identifier": "04632084",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kankakee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.