Individual provider Active NPI

Anne Trager, DO

  • Dermatology Physician
  • Bethesda, MD
National Provider Identifier
1689119430
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0102205360 Issued in VA
Practice address
8901 Wisconsin Ave BLDG 19
Bethesda, MD 20889-8716
Phone
(920) 207-3245
NPI assigned
Jan 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0102205360 VA Primary

Addresses

Primary practice location

8901 Wisconsin Ave BLDG 19
Bethesda, MD 20889-8716

Mailing address

Walter Reed National Military Medical Center
4494 Palmer Rd N
Bethesda, MD 20814
Phone (920) 207-3245

Other practice location 1

7050 Air Depot Blvd Bldg 1094
Tinker AFB, OK 73145-8716
Phone (405) 582-6615

Other practice location 2

620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone (757) 953-3647

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170727001431 VA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 3274803069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0102205360VAMDDermatology Physician

NPI Registry JSON

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1689119430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WALTER REED NATIONAL MILITARY MEDICAL CENTER",
            "address_2": "4494 PALMER RD N",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20814",
            "telephone_number": "920-207-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 WISCONSIN AVE BLDG 19",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208898716",
            "telephone_number": "920-207-3245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7050 Air Depot Blvd Bldg 1094",
            "address_purpose": "LOCATION",
            "city": "Tinker AFB",
            "state": "OK",
            "postal_code": "731458716",
            "country_code": "US",
            "telephone_number": "405-582-6615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 John Paul Jones Cir",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237082111",
            "country_code": "US",
            "telephone_number": "757-953-3647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAGER",
        "first_name": "ANNE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-04",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0102205360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.