Basic Information
| Provider Information | |||||||||
| NPI: | 1720075088 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TROPPER | ||||||||
| FirstName: | SCOTT | ||||||||
| MiddleName: | E. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12251 N 32ND ST | ||||||||
| Address2: | STE 12 | ||||||||
| City: | PHOENIX | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 850327144 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6029710950 | ||||||||
| FaxNumber: | 6029924971 | ||||||||
| Practice Location | |||||||||
| Address1: | 12251 N 32ND ST | ||||||||
| Address2: | STE 12 | ||||||||
| City: | PHOENIX | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 850327144 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4809456896 | ||||||||
| FaxNumber: | 4809457287 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/03/2005 | ||||||||
| LastUpdateDate: | 09/21/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0001X | 22917 | AZ | N | Allopathic & Osteopathic Physicians | Radiology | Radiation Oncology | 174400000X | AZ22917 | AZ | Y | Other Service Providers | Specialist |
ID Information
| ID | Type | State | Issuer | Description | 0004522567 | 01 | AZ | AETNA PROVIDER NUMBER | OTHER | 7175845 | 01 | AZ | CIGNA PROVIDER NUMBER | OTHER | 00009262 | 01 | AZ | SCHALLER ANDSN. PROV. # | OTHER | 340894 | 01 | AZ | AZ. HLTH CARE PROVIDER # | OTHER | 340894002 | 01 | AZ | MERCY CARE PLAN PROV. # | OTHER | AZ0784120 | 01 | AZ | BCBS OF AZ. PROVIDER # | OTHER | 2340894 | 01 | AZ | HEALTH CHOICE PROV. # | OTHER | 340894 | 05 | AZ | MEDICAID |