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NPI Code Detail

MEDICARE: TROY A ABBOTT MD

MEDICARE: TROY A ABBOTT 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
1207Q00000XFamily Medicine Physician01041641AIN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00099379OTHERINRR MEDICARE
3IN1868004OTHERINMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000312982OTHERINANTHEM
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689693889
Entity Type Code : Individual
Provider Name (Legal Business Name) : TROY A ABBOTT MD
Provider Business Mailing Address
First Line : 250 N SHADELAND AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-4959
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2901 W JACKSON ST
Second Line :
City : MUNCIE
State : IN
Zip : 47304-4307
Country : US
Telephone Number : 765-281-6920
Fax Number : 765-281-6151
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 12/13/2022

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Directions to “ TROY A ABBOTT MD” Practice Location

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