Provider Demographics
NPI:1073528543
Name:TROOST, NEIL WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:WILLIAM
Last Name:TROOST
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8510 TSCHARNER RD
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:KY
Mailing Address - Zip Code:42420-8927
Mailing Address - Country:US
Mailing Address - Phone:312-804-1525
Mailing Address - Fax:
Practice Address - Street 1:8885 STATE ROAD 237
Practice Address - Street 2:
Practice Address - City:TELL CITY
Practice Address - State:IN
Practice Address - Zip Code:47586-8567
Practice Address - Country:US
Practice Address - Phone:812-547-7011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY40041207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000521606OtherBLUE CROSS BLUE SHIELD
KYH82265Medicare UPIN
KY0044135Medicare ID - Type Unspecified
KY00280016Medicare PIN