Provider Demographics
NPI:1275536377
Name:HAMPTON, TROY E (DO)
Entity Type:Individual
Prefix:
First Name:TROY
Middle Name:E
Last Name:HAMPTON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1550 SHERIDAN DR
Mailing Address - Street 2:STE 202
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-1381
Mailing Address - Country:US
Mailing Address - Phone:740-654-0232
Mailing Address - Fax:740-654-9794
Practice Address - Street 1:1550 SHERIDAN DR
Practice Address - Street 2:STE 202
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-1381
Practice Address - Country:US
Practice Address - Phone:740-687-5798
Practice Address - Fax:740-654-9794
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2017-04-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH34007033207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2505319Medicaid
OHI21314Medicare UPIN
OH2505319Medicaid