Individual provider Active NPI

Carl Griffin Trotter, M.D.

  • Emergency Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1689060840
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
111798 Issued in MO
Practice address
3545 Lafayette Ave
Salus Building Room 501
Saint Louis, MO 63104-1314
Phone
(314) 977-6665
Fax
(314) 977-5150
NPI assigned
Apr 14, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 111798 MO Primary

Addresses

Primary practice location

3545 Lafayette Ave
Salus Building Room 501
Saint Louis, MO 63104-1314

Mailing address

3545 Lafayette Ave
Salus Building Room 501
Saint Louis, MO 63104-1314
Phone (314) 977-6665

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

LicenseStateTypeSpecialty
111798MOMDEmergency Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1689060840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 LAFAYETTE AVE",
            "address_2": "SALUS BUILDING ROOM 501",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631041314",
            "telephone_number": "314-977-6665",
            "fax_number": "314-977-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 LAFAYETTE AVE",
            "address_2": "SALUS BUILDING ROOM 501",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631041314",
            "telephone_number": "314-977-6665",
            "fax_number": "314-977-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROTTER",
        "first_name": "CARL",
        "middle_name": "GRIFFIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-14",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "111798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.