Organization Active NPI

George S Trotter MD PA

  • General Practice Physician
  • Jacksonville, FL
National Provider Identifier
1831408319
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
GEORGE S TROTTER MD PA
Practice address
2023 Myra St
Jacksonville, FL 32204-3714
Phone
(904) 356-3318
Fax
(904) 356-3259
NPI assigned
Sep 30, 2010
Last updated
Sep 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
Dr. George Sedding Trotter, MD PA
Title
President
Phone
(904) 356-3318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2023 Myra St
Jacksonville, FL 32204-3714

Mailing address

2023 Myra St
Jacksonville, FL 32204-3714
Phone (904) 356-3318

Other identifiers 1

IdentifierTypeStateIssuer
050457200MedicaidFL

National Provider Directory

National Provider Directory

Locations

2023 Myra St
Jacksonville, FL 32204
Phone (904) 356-3318

NPI Registry JSON

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1831408319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 MYRA ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322043714",
            "telephone_number": "904-356-3318",
            "fax_number": "904-356-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 MYRA ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322043714",
            "telephone_number": "904-356-3318",
            "fax_number": "904-356-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE S TROTTER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "TROTTER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "SEDDING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-356-3318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "050457200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.