Active NPI
Trapp Medical Associates, S.C.
- Internal Medicine Physician
- Kankakee, IL
National Provider Identifier
1861569170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036095931
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036095931 | IL | Primary |
| Pediatrics Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036095931 | Medicaid | IL | |
| DF2933 | Other | IL | RR MEDICARE GROUP |
| 04632084 | Other | IL | BCBS IL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Bourbonnais, IL
- NPI 1588763395
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.