Basic Information
Provider Information
NPI: 1073528543
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TROOST
FirstName: NEIL
MiddleName: WILLIAM
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8510 TSCHARNER RD
Address2:  
City: HENDERSON
State: KY
PostalCode: 424208927
CountryCode: US
TelephoneNumber: 3128041525
FaxNumber:  
Practice Location
Address1: 3700 WASHINGTON AVE
Address2:  
City: EVANSVILLE
State: IN
PostalCode: 477503258
CountryCode: US
TelephoneNumber: 8124854000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/30/2006
LastUpdateDate: 10/04/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XTP354KYY Allopathic & Osteopathic PhysiciansEmergency Medicine 

ID Information
IDTypeStateIssuerDescription
00000052160601KYBLUE CROSS BLUE SHIELDOTHER


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