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NPI Code Detail

MEDICARE: MATTHEW G TROY MD

MEDICARE: MATTHEW G TROY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician01049536AIN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00252552OTHERRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3000000371643OTHERINANTHEM

General Provider Information

NPI Number : 1275528093
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW G TROY MD
Provider Business Mailing Address
First Line : 1040 SIERRA DR STE 400
Second Line :
City : GREENWOOD
State : IN
Zip : 46143-7241
Country : US
Telephone Number : 317-528-4800
Fax Number : 317-865-1479
Provider Business Practice Location Address
First Line : 3500 FRANCISCAN WAY STE 300
Second Line :
City : MICHIGAN CITY
State : IN
Zip : 46360-0021
Country : US
Telephone Number : 219-879-6531
Fax Number : 219-878-8331
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2005
Last Update Date : 03/13/2021

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