ROGER B TRAYCOFF M.D. NPI 1528078540

NPI Information

NPI: 1528078540
Provider Name: ROGER B TRAYCOFF, M.D.
Classification: Internal Medicine - 207RR0500X
Entity Type: Individual

Specialization: Rheumatology

Address:
2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL
ZIP 62704
Phone: (217) 698-9722
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Roger B Traycoff, M.D. is a rheumatology internal medicine in Springfield, IL. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. Roger B Traycoff, M.D. NPI is 1528078540. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL
ZIP 62704-437
Phone: (217) 698-9722
Fax: (217) 391-0392

The enumeration date for this NPI number is 8/9/2006 and was last updated on 12/16/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		036051951	ILLINOIS	No
2	207RR0500X	Internal Medicine	Rheumatology	036051951	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	029224	OTHER	ILLINOIS	HEALTH ALLIANCE
2	036051951	OTHER	ILLINOIS	IL STATE LICENSE
3	C37848	MEDICARE UPIN	ILLINOIS
4	020057300	OTHER	ILLINOIS	BLACK LUNG
5	08421024	OTHER	ILLINOIS	BC/BS
6	206164	OTHER	ILLINOIS	HEALTHLINK
7	14D0949277	OTHER	ILLINOIS	CLIA
8	CD7143	OTHER	ILLINOIS	RR MEDICARE GROUP
9	P00144541	OTHER	ILLINOIS	RR MEDICARE PIN
10	CATERPILLAR	OTHER	ILLINOIS	6394P
11	194883	OTHER	ILLINOIS	PERSONAL CARE
12	036051951	MEDICAID	ILLINOIS
13	133586700	OTHER	ILLINOIS	ACS-OWCP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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