Active NPI
Dana R Trotter, MD
- Rheumatology Physician
- Green Bay, WI
National Provider Identifier
1811030067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 29683-20
- Practice address
- 3263 Eaton Rd
Green Bay, WI 54311-6830 - Phone
- (920) 433-6700
- Fax
- (920) 433-6719
- NPI assigned
- Feb 15, 2007
- 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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 29683-20 | WI | Primary |
Addresses
Primary practice location
3263 Eaton Rd
Green Bay, WI 54311-6830
Mailing address
PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7222
Other practice location 1
2530 S Telshor Blvd Ste 207
Las Cruces, NM 88011-4975
Phone (575) 556-1892
Other practice location 2
1800 Lawrence Dr
DE Pere, WI 54115-9108
Phone (920) 983-3220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77415 | Other | AMERICAN BOARD OF INTERNAL MEDICINE/RHEUMATOLOGY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588291200000",
"number": "1811030067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22487",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543052487",
"telephone_number": "920-445-7222",
"fax_number": "920-445-7289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3263 EATON RD",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543116830",
"telephone_number": "920-433-6700",
"fax_number": "920-433-6719"
}
],
"practiceLocations": [
{
"address_1": "2530 S Telshor Blvd Ste 207",
"address_purpose": "LOCATION",
"city": "Las Cruces",
"state": "NM",
"postal_code": "880114975",
"country_code": "US",
"telephone_number": "575-556-1892",
"fax_number": "575-556-1893",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1800 Lawrence Dr",
"address_purpose": "LOCATION",
"city": "DE Pere",
"state": "WI",
"postal_code": "541159108",
"country_code": "US",
"telephone_number": "920-983-3220",
"fax_number": "920-983-3226",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TROTTER",
"first_name": "DANA",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2020-05-01",
"certification_date": "2020-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "WI",
"license": "29683-20",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN BOARD OF INTERNAL MEDICINE/RHEUMATOLOGY",
"identifier": "77415",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.