STANFORD B. TRACHTENBERG M.D. – NPI #1619287414
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

STANFORD TRACHTENBERG is a radiologist located in WILSON, WY. NPPES has assigned the NPI number 1619287414 to STANFORD TRACHTENBERG on October 14, 2010. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STANFORD TRACHTENBERG below.

NPI Profile for
STANFORD B. TRACHTENBERG

NPI Number
1619287414
Enumeration Date

(more than 15 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
STANFORD B. TRACHTENBERG
Credentials
M.D.
Primary location
3680 LAKE CREEK DRIVE
WILSON, WY 83014
Phone: (307) 733-3642 Fax:
Mailing address
PO BOX 344
TETON VILLAGE, WY 83025-0344
Phone: (307) 733-3642 Fax:
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
WY 5033A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.