Provider Demographics
NPI:1902864069
Name:TROBOUGH, TODD D (MD)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:D
Last Name:TROBOUGH
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 1:2830 SW URISH RD
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-5614
Mailing Address - Country:US
Mailing Address - Phone:785-233-5101
Mailing Address - Fax:
Practice Address - Street 1:2830 SW URISH RD
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-5614
Practice Address - Country:US
Practice Address - Phone:785-233-5101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-25279207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100161100AMedicaid
KS046451Medicare ID - Type Unspecified
KS100161100AMedicaid