Provider Demographics
NPI:1700574027
Name:ROEBUCK, TROY ANTHONY (MSN, APRN-CNP, AC)
Entity Type:Individual
Prefix:
First Name:TROY
Middle Name:ANTHONY
Last Name:ROEBUCK
Suffix:
Gender:M
Credentials:MSN, APRN-CNP, AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:882 SAXON AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44314-2961
Mailing Address - Country:US
Mailing Address - Phone:330-329-3401
Mailing Address - Fax:
Practice Address - Street 1:177 W EXCHANGE ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44302-1706
Practice Address - Country:US
Practice Address - Phone:330-543-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-25
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0033721207PP0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PP0204XAllopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine