Maxwell Trygve Cotter, MD, PHD

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HA2094 Issued in CA

Practice address

2511 N Orchard Dr
Burbank, CA 91504-2210

Phone

(818) 843-2415

Fax

(818) 566-4345

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1770696189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 N ORCHARD DR",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042210",
            "telephone_number": "818-843-2415",
            "fax_number": "818-566-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 N ORCHARD DR",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042210",
            "telephone_number": "818-843-2415",
            "fax_number": "818-566-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTER",
        "first_name": "MAXWELL",
        "middle_name": "TRYGVE",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA2094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HA0024280",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Costco
• Costco Wholesale Corporation
• Costco Wholesale Corporation (Costco Optical #677)
• Costco Wholesale Corporation (Costco Hearing Aid #677)
• Monica Costello
• Cottonwood Medical Supply, Inc.
• Cottonwood Medical, Inc
• Emma Cottrell
• Counseling and Trauma Family Therapy, Inc. (EMDR and Trauma Therapy, Inc.)
• Country Club Hospice, Inc.

• Hearing Instrument Specialist in Burbank, CA
• Providers in Burbank, CA by specialty
• Hearing Instrument Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.