Provider Demographics
NPI:1285629345
Name:TROISE, JOSEPH L (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:L
Last Name:TROISE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4726 GLENBROOK DR
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-2850
Mailing Address - Country:US
Mailing Address - Phone:540-819-9777
Mailing Address - Fax:
Practice Address - Street 1:1900 ELECTRIC RD STE 1030
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153-7474
Practice Address - Country:US
Practice Address - Phone:540-772-3650
Practice Address - Fax:540-772-3650
Is Sole Proprietor?:No
Enumeration Date:2005-09-15
Last Update Date:2025-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101054316207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6207626Medicaid
VA1285629345Medicaid
G32301Medicare UPIN
VA1285629345Medicaid
VAVAA103598Medicare PIN
VA160001279Medicare ID - Type Unspecified