Michael David Skroupa

Physician Assistant · Troy, NY

Individual Active NPI

NPI number 1780198804

Practice location

2215 Burdett Ave
Troy, NY 12180-2466
Phone
(518) 271-3300

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NPI record

NPI
1780198804
Entity type
Individual (Type 1)
Enumeration date
November 28, 2017
Last updated
May 13, 2021
Certified
May 13, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 021520 NY
Medical Physician Assistant 363AM0700X 021520-1 NY

Mailing address

PO Box 14890
Albany, NY 12212-4890
Phone
(518) 525-5634

Other practice locations (2)

  • 315 S Manning Blvd, Albany, NY 12208-1707 · (518) 525-1550
  • 600 Northern Blvd, Albany, NY 12204-1004 · (518) 471-3221

About Michael Skroupa

Michael David Skroupa is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 2215 Burdett Ave, Troy, NY 12180-2466. The NPI number 1780198804 was assigned on November 28, 2017 and the record was last updated on May 13, 2021.

Michael Skroupa lists 2 licenses in the registry: #021520 (NY) for Physician Assistant; #021520-1 (NY) for Medical Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael David Skroupa?

The NPI number is 1780198804.

What is the phone number of Michael Skroupa?

The phone number listed for the practice location is (518) 271-3300.

Where is Michael Skroupa located?

2215 Burdett Ave, Troy, NY 12180-2466.

What is the taxonomy code for Michael Skroupa?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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