John L Trotter, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

0101274909 Issued in VA

Practice address

422 Hamilton Blvd
South Boston, VA 24592-5200

Phone

(434) 572-4074

NPI assigned

Aug 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• John Louis Trotter Other name

Medicare fee-for-service enrollment

Enrolled in WI, NM, VA3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jtrotter42435@aurora.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dominion Health Medical Assoc.

  • Ambulatory Surgical Clinic/Center
  • South Boston, VA
  • NPI 1255771770
  Medicare reassignment NPD
• Froedtert Manitowoc Medical Group, LLC

  • Multi-Specialty Clinic/Center
  • Manitowoc, WI
  • NPI 1437829975
  Medicare reassignment NPD
• Las Cruces Physician Practices, LLC

  • Vascular Surgery Physician
  • Las Cruces, NM
  • NPI 1093947491
  Medicare reassignment NPD
• Dominion Health Medical Assoc

  • Cardiovascular Disease Physician
  • South Boston, VA
  • NPI 1356138879
  NPD
• Dominion Health Medical Assoc.

  • Orthopaedic Surgery Physician
  • South Boston, VA
  • NPI 1306150545
  NPD
• Las Cruces Physician Practices LLC

  • Obstetrics & Gynecology Physician
  • Las Cruces, NM
  • NPI 1235484304
  NPD
• Las Cruces Physician Practices, LLC

  • Cardiovascular Disease Physician
  • Las Cruces, NM
  • NPI 1346586195
  NPD
• Aurora Medical Group, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Manitowoc, WI
  • NPI 1801941075
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1992812002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 HAMILTON BLVD",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245925200",
            "telephone_number": "434-572-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 HAMILTON BLVD",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245925200",
            "telephone_number": "434-572-4074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10400 75th St",
            "address_2": "#301",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "53142",
            "country_code": "US",
            "telephone_number": "262-948-6729",
            "fax_number": "262-948-6761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TROTTER",
        "first_name": "JOHN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2023-03-07",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "29684",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101274909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31440900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "TROTTER",
            "middle_name": "LOUIS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Trusted Service
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• Orthopaedic Surgery Physician in South Boston, VA
• Providers in South Boston, VA by specialty
• Orthopaedic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.