Provider Demographics
NPI:1245492412
Name:VOELTZ, TROY DONALD (MD)
Entity type:Individual
Prefix:
First Name:TROY
Middle Name:DONALD
Last Name:VOELTZ
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 1:630 NW ENGLEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64118-3973
Mailing Address - Country:US
Mailing Address - Phone:816-453-2700
Mailing Address - Fax:816-453-9943
Practice Address - Street 1:630 NW ENGLEWOOD RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64118-3973
Practice Address - Country:US
Practice Address - Phone:816-453-2700
Practice Address - Fax:816-453-9943
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20140110502085R0202X
MN261QM1300X2085B0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN56447OtherMINNESOTA MEDICAL LICENSE NUMBER
MNH400093878Medicare UPIN
MN1245492412Medicaid