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Deactivated NPI 1033112909 Deactivated / Inactive NPI Male Practitioner

Dr. Troy P Noonan , MD

Specialist • Brandon, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Troy Noonan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 24, 2005
NPI Deactivation Date March 16, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Troy Noonan, MD was a registered Specialist practicing in Brandon, FL. Throughout an active medical career spanning 1 years, Dr. Noonan provided care at the practice location at 710 OAKFIELD DR until profile deactivation on 2006-03-16.

Practice Location & Contact Primary Location

Practice Address

710 Oakfield Dr
Ste 261

Brandon, FL 335114937

Telephone 8136577022
Fax 8136571049
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Brandon, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.7 Yrs
State Avg: 37.8 Yrs
Regional Practice Density
24 Specialists

Practicing in Brandon, FL (3036 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License FL ME0074311

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
William Homan , PA

Physician Assistant

NPI 1083235295

Physician Assistant

Carrie Wilson , MA, LMHC

Counselor - Mental Health

NPI 1922179118

Master of Arts, Licensed Mental Health Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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Updated Practice Location July 08, 2007

Registered at 710 OAKFIELD DR, STE 261, BRANDON, FL 335114937 (Tel: 8136577022)

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Updated Business Mailing Address July 08, 2007

Registered at 710 OAKFIELD DR, STE 261, BRANDON, FL 335114937 (Tel: 8136577022)

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Provider Name / Credentials Updated July 08, 2007

Recorded as TROY NOONAN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #ME0074311 in FL)

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NPI Profile Reactivated March 28, 2006

Record officially reactivated for active practice on March 28, 2006

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NPI Profile Deactivated March 16, 2006

Record deactivated on March 16, 2006

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Initial NPI Registration & Enumeration May 24, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033112909
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2005
Last Update: July 08, 2007
Deactivation Date: March 16, 2006
Sole Proprietor: Yes

Mailing Address

710 Oakfield Dr, Ste 261

Brandon, FL 335114937

Phone: 8136577022

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.