| William R. Troup M.d. | |
|
101 E Greenwood Avenue North Johnson KS 67855-0699 | |
| (620) 492-6230 | |
| (620) 492-2309 |
| Full Name | William R. Troup M.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 101 E Greenwood Avenue North, Johnson, Kansas |
| Authorized Official Name and Position | William Roger Troup (OWNER) |
| Authorized Official Contact | 6204926230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William R. Troup M.d. Po Box 699 101 E Greenwood Ave Johnson KS 67855-0699 Ph: (620) 492-6230 | William R. Troup M.d. 101 E Greenwood Avenue North Johnson KS 67855-0699 Ph: (620) 492-6230 |
| NPI Number | 1295815041 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3072505908 |
|---|---|
| Medicare Enrollment ID | O20040331001639 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295815041 | NPI | - | NPPES |
| 43182356 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 14677 (Kansas) | Primary |
| Provider Name | William Troup |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366538167 PECOS PAC ID: 7618969551 Enrollment ID: I20041028000468 |
Stanton County Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 N Main St, Johnson, KS 67855 Phone: 620-492-1400 Fax: 620-492-1608 | |
Stanton County Family Practice Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 N Chestnut St, Johnson, KS 67855 Phone: 620-492-1400 Fax: 620-492-1608 | |
Stanton County Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 404 N Chestnut St, Johnson, KS 67855 Phone: 620-492-1400 Fax: 620-492-1608 |