DR. ROBERT JOHN TRACE MD NPI 1801869961

NPI Information

NPI: 1801869961
Provider Name: DR. ROBERT JOHN TRACE, MD
Classification: Internal Medicine - 207RG0100X
Entity Type: Individual

Specialization: Gastroenterology

Address:
121 E ANTIETAM ST
HAGERSTOWN, MD
ZIP 21740
Phone: (301) 739-2560
Get Directions

DR. Robert John Trace, MD is a gastroenterology internal medicine in Hagerstown, MD. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. DR. Robert John Trace, MD NPI is 1801869961. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

121 E ANTIETAM ST
HAGERSTOWN, MD
ZIP 21740
Phone: (301) 739-2560
Fax: (301) 739-0266

The enumeration date for this NPI number is 2/9/2006 and was last updated on 7/16/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RG0100X	Internal Medicine	Gastroenterology	D22012	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W0180001	OTHER	MARYLAND	BLUE CROSS BLUE SHIELD
2	964111400	MEDICAID	MARYLAND
3	8642	MEDICARE PIN	MARYLAND
4	D73872	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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