ROBERT J TRACE JR MD PA (NPI# 1043541147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043541147 |
| Entity Type | Organization |
| Organization Name | ROBERT J TRACE JR MD PA |
| Practice Address |
121 E Antietam St Hagerstown MD 21740-5601 |
| Practice Telephone | 3017392560 |
| Practice Fax Number | 3017390266 |
| Mailing Telephone | 3017392560 |
| Mailing Fax Number | 3017390266 |
| Enumeration Date | 2010-01-29 |
| Last Update Date | 2010-01-29 |
| Authorized Official Name | DR. ROBERT JOHN TRACE JR. (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 3017392560 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
D22012 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 964111400MD | 05 |
| Street Address |
121 E ANTIETAM ST |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21740-5601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801869961 | Robert John Trace Jr. | Internal Medicine | 121 E Antietam St, Hagerstown, MD 21740 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877426 | Shaynee Ann Barcelona Araneta | Physical Medicine & Rehabilitation | 17303 Kilpatrick Ct, Hagerstown, MD 21740 | 2020-09-25 |
| 1265081319 | Jes Right Care Dba Right At Home | In Home Supportive Care | 223 N. Pospect Street, Suite 203, Hagerstown, MD 21740 | 2019-09-10 |
| 1649828633 | Ihuoma Marvelous Udeagha | Nurse Practitioner | West Virginia University Medicine Brain & Spine, 13 Western Maryland Parkway, Ste 106, Hagerstown, MD 21740 | 2019-09-03 |
| 1831651157 | Rankin Physical Therapy, Inc. | Clinic/Center | 18348 Spark Drive, Suite 203, Hagerstown, MD 21740 | 2019-04-04 |
| 1285195586 | Ultimate Hearing Solutions Vi, LLC | Audiologist-Hearing Aid Fitter | 222 East Oak Ridge Dr. South Point Shopping Center, Suite 1850, Hagerstown, MD 21740 | 2019-03-28 |
| 1285108001 | Alternative Drig & Alcohol Counseling LLC | Counselor | 339 E Antietam Street, Hagerstown, MD 21740 | 2019-01-15 |
| 1093287617 | Brooke's House, Inc. | Clinic/Center | 17670 Technology Boulevard, Hagerstown, MD 21740 | 2018-12-20 |
| 1871096487 | Ashley Lawal | Behavioral Analyst | 649 Guilford Ave, Hagerstown, MD 21740 | 2018-03-10 |
| 1194231738 | Btst Services LLC | Community/Behavioral Health | 1301 W Washington St, 101, Hagerstown, MD 21740 | 2017-12-19 |
| 1811408057 | Compassionate Wellness Center, LLC | Nurse Practitioner | 44 N Potomac St Ste 101&102, Hagerstown, MD 21740 | 2017-10-16 |
| Find all providers in zip 21740 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093354698 | Urooj Ahmed | Internal Medicine | 11110 Medical Campus Rd Ste 250, Hagerstown, MD 21742-6756 | 2019-12-30 |
| 1801869961 | Robert John Trace Jr. | Internal Medicine | 121 E Antietam St, Hagerstown, MD 21740 | 2006-02-09 |
| 1538148283 | Chintamaneni P Choudari | Internal Medicine | 11110 Medical Campus Rd Ste 242, Hagerstown, MD 21742-6728 | 2006-01-11 |
| 1831180652 | Juan A Tayler | Internal Medicine | 1111o Medical Campus Road, Suite 246, Hagerstown, MD 21742 | 2005-11-01 |
| 1518517754 | Hagerstown Gastroenterology Cp Choudari Pa | Internal Medicine | 11110 Medical Campus Rd Ste 242, Hagerstown, MD 21742-6728 | 2019-09-19 |
| 1154791143 | Gastroenterology Solutions LLC | Internal Medicine | 11110 Medical Campus Rd, Suite 242, Hagerstown, MD 21742-6700 | 2015-10-02 |
| 1639306012 | Hemant Chatrath | Internal Medicine | 11110 Medical Campus Rd, Ste 246, Hagerstown, MD 21742-6756 | 2009-06-12 |
| 1679563746 | Nelson L Ferreira | Internal Medicine | 11110 Medical Campus Rd, Suite 246, Hagerstown, MD 21742-6700 | 2005-10-28 |
| 1043200116 | James E Cremins | Internal Medicine | 11110 Medical Campus Rd, Suite 242, Hagerstown, MD 21742-6700 | 2005-10-28 |
| 1659361723 | Christine P Lewis | Internal Medicine | 11110 Medical Campus Rd, Suite 246, Hagerstown, MD 21742-6700 | 2005-10-28 |
| Find all providers in HAGERSTOWN | ||||
| City | HAGERSTOWN |
| Zip Code | 21740 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.