Healthcare Provider Details

I. General information

NPI: 1275536377
Provider Name (Legal Business Name): TROY E HAMPTON D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2005
Last Update Date: 04/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 SHERIDAN DR STE 202
LANCASTER OH
43130-1381
US

IV. Provider business mailing address

1550 SHERIDAN DR STE 202
LANCASTER OH
43130-1381
US

V. Phone/Fax

Practice location:
  • Phone: 740-687-5798
  • Fax: 740-654-9794
Mailing address:
  • Phone: 740-654-0232
  • Fax: 740-654-9794

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number34007033
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: