Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 35049857 | OH |
NPI | 1144271941 |
---|---|
Provider Name | Dr. R Douglas Trochelman |
First Address | Akron, OH 44304-1468 |
Second Address | Akron, OH 44304-1468 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2006 |
Last Update Date | 28/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000134682 | ANTHEM (01) | OH |
0617153 | MEDICARE ID (01) | OH |
0705044 | (05) | OH |
110029259 | RR MEDICARE (01) | OH |
300583337001 | MMOH (01) | OH |
341587155B | ACHS (01) | OH |
7328574 | AETNA (01) | OH |
793693 | UHC (01) | OH |
A83050 | (02) | OH |
TRO617151 | MEDICARE ID (01) | OH |