Active NPI
Susanne Natalie Trachtenberg, M.D.
- Neurology Physician
- Lynchburg, VA
National Provider Identifier
1639424526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD 428966
- Practice address
- 828 Main St
Suite 1702
Lynchburg, VA 24504-1500 - Phone
- (434) 528-3263
- Fax
- (617) 807-0958
- NPI assigned
- Jul 17, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD 428966 | PA | Primary |
Addresses
Primary practice location
828 Main St
Suite 1702
Lynchburg, VA 24504-1500
Mailing address
828 Main Street
Suite 1702
Lynchbur, PA 24504
Phone (434) 528-3263
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 428966 | PA | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342483200000",
"number": "1639424526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "828 MAIN STREET",
"address_2": "SUITE 1702",
"city": "LYNCHBUR",
"state": "PA",
"postal_code": "24504",
"telephone_number": "434-528-3263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "828 MAIN ST",
"address_2": "SUITE 1702",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245041500",
"telephone_number": "434-528-3263",
"fax_number": "617-807-0958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRACHTENBERG",
"first_name": "SUSANNE",
"middle_name": "NATALIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-17",
"last_updated": "2012-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "MD 428966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.