NPIMap

Organization Active NPI

Troy Internal Medicine, Inc.

  • Internal Medicine Physician
  • Troy, OH
National Provider Identifier
1871798413
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35037618N Issued in OH
Legal business name
TROY INTERNAL MEDICINE, INC.
Practice address
530 Crescent Dr
Troy, OH 45373-2718
Phone
(937) 339-3838
Fax
(937) 335-1232
NPI assigned
Jun 15, 2007
Last updated
Feb 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Authorized official

Name
Thomas J Nickras, MD
Title
Owner Partner
Phone
(937) 339-3838

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 35037618N OH Primary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 35036285N OH

Addresses

Primary practice location

530 Crescent Dr
Troy, OH 45373-2718

Mailing address

530 Crescent Dr
Troy, OH 45373-2718
Phone (937) 339-3838

National Provider Directory

National Provider Directory

Locations

530 Crescent Dr
Troy, OH 45373
Phone (937) 339-3838

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1871798413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 CRESCENT DR",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732718",
            "telephone_number": "937-339-3838",
            "fax_number": "937-335-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 CRESCENT DR",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732718",
            "telephone_number": "937-339-3838",
            "fax_number": "937-335-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROY INTERNAL MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "NICKRAS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER PARTNER",
        "authorized_official_telephone_number": "937-339-3838",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35037618N",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35036285N",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Feb 4, 2010; 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.