Provider Demographics
NPI:1720075088
Name:TROPPER, SCOTT E (MD)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:E
Last Name:TROPPER
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 1:12251 N 32ND ST
Mailing Address - Street 2:STE 12
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-7144
Mailing Address - Country:US
Mailing Address - Phone:602-971-0950
Mailing Address - Fax:602-992-4971
Practice Address - Street 1:12251 N 32ND ST
Practice Address - Street 2:STE 12
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-7144
Practice Address - Country:US
Practice Address - Phone:480-945-6896
Practice Address - Fax:480-945-7287
Is Sole Proprietor?:No
Enumeration Date:2005-10-03
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ229172085R0001X
AZAZ22917174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ0004522567OtherAETNA PROVIDER NUMBER
AZ7175845OtherCIGNA PROVIDER NUMBER
AZ00009262OtherSCHALLER ANDSN. PROV. #
AZ340894OtherAZ. HLTH CARE PROVIDER #
AZ340894002OtherMERCY CARE PLAN PROV. #
AZAZ0784120OtherBCBS OF AZ. PROVIDER #
AZ2340894OtherHEALTH CHOICE PROV. #
AZ340894Medicaid
AZ7175845OtherCIGNA PROVIDER NUMBER
AZ340894Medicaid
AZ0004522567OtherAETNA PROVIDER NUMBER