Provider Demographics
NPI: | 1801855747 |
---|---|
Name: | TROPP, RORY (MD) |
Entity Type: | Individual |
Prefix: | |
First Name: | RORY |
Middle Name: | |
Last Name: | TROPP |
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: | 3702 NEW VISION DR |
Mailing Address - Street 2: | BLDG B |
Mailing Address - City: | FORT WAYNE |
Mailing Address - State: | IN |
Mailing Address - Zip Code: | 46845-1703 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 724-430-5066 |
Mailing Address - Fax: | 724-430-3098 |
Practice Address - Street 1: | 500 W BERKELEY ST |
Practice Address - Street 2: | |
Practice Address - City: | UNIONTOWN |
Practice Address - State: | PA |
Practice Address - Zip Code: | 15401-5514 |
Practice Address - Country: | US |
Practice Address - Phone: | 724-430-5066 |
Practice Address - Fax: | 724-430-3098 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2006-03-20 |
Last Update Date: | 2023-06-28 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
PA | MD046274L | 207P00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
PA | 0019227180007 | Medicaid | |
PA | 0019227180005 | Medicaid | |
WV | 3810017515 | Medicaid | |
OH | 2882313 | Medicaid | |
PA | 0019227180007 | Medicaid | |
PA | F49017 | Medicare UPIN | |
WV | 3810017515 | Medicaid | |
WV | 3810017515 | Medicaid |