DR. ROBERT CHARLES TRAUTWEIN (NPI# 1629064779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629064779 |
| Entity Type | Individual |
| Full Name | DR. ROBERT CHARLES TRAUTWEIN |
| Credential | M. D. |
| Practice Address |
740 High St Suite 2001 Williamsport PA 17701-3102 |
| Mailing Address |
1201 Grampian Blvd Williamsport PA 17701-1900 |
| Practice Telephone | 5703212800 |
| Practice Fax Number | 5703213351 |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2019-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD052569L | PA | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
MD052569L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0014655020002 | 05 |
| Street Address |
740 HIGH ST SUITE 2001 |
| City | WILLIAMSPORT |
| State | PA |
| Zip Code | 17701-3102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073516944 | John N. Boll II | Family Medicine | 740 High St, Suite 4001, Williamsport, PA 17701-3100 | 2005-05-24 |
| 1184266918 | Erica Jeanne Ernest | Nurse Practitioner | 740 High St, Suite 1003, Williamsport, PA 17701-3100 | 2019-10-14 |
| 1609339167 | Nicholas Gorski | Student in an Organized Health Care Education/Training Program | 740 High St, Williamsport, PA 17701-3102 | 2019-04-11 |
| 1477046845 | Cameron Glagola | Family Medicine | 740 High St, Williamsport, PA 17701-3102 | 2018-06-11 |
| 1043730229 | Jillian Parsons | Family Medicine | 740 High St, Williamsport, PA 17701-3102 | 2017-06-20 |
| 1376070565 | Veniese Lawrence | Advanced Practice Midwife | 740 High St, Suite 1004, Williamsport, PA 17701-3100 | 2017-05-18 |
| 1205379310 | Sean Vincent O'brien | Physician Assistant | 740 High St, Ste 1003, Williamsport, PA 17701-3100 | 2016-11-21 |
| 1053861138 | Rebecca Rhone | Nurse Practitioner | 740 High St, Suite 2001, Williamsport, PA 17701-3102 | 2016-10-12 |
| 1780132555 | Rebecca Russell | Advanced Practice Midwife | 740 High St, Suite 1004, Williamsport, PA 17701-3102 | 2016-09-21 |
| 1669823100 | Thomas Parrish | Family Medicine | 740 High St, Williamsport, PA 17701-3102 | 2016-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
| 1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
| 1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
| 1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
| 1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
| 1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
| 1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
| 1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
| 1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
| Find all providers in zip 17701 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427043553 | Raymond S Resnick | Internal Medicine | 740 High St Ste 2001, Williamsport, PA 17701-3102 | 2005-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326609686 | Grand View Hospital | Internal Medicine | 700 Lawn Ave Fl 2, Sellersville, PA 18960-1548 | 2019-06-26 |
| 1841798121 | Coordinated Health of Penn, LLC | Internal Medicine | 1700 Market St Ste 1005a104, Philadelphia, PA 19103-3913 | 2018-01-31 |
| 1124409826 | Sanjog Kalra | Internal Medicine | 5501 Old York Road, 3rd Floor Levy Building, Albert Einstein Medical Center-division of Cardiology, Philadelphia, PA 19141 | 2015-06-18 |
| 1588905095 | Harvard Cardiovascular Inc | Internal Medicine | 362 Sprague Rd, Penn Valley, PA 19072-1124 | 2013-03-07 |
| 1669784880 | Paul Lewis Hermany II | Internal Medicine | 2649 Schoenersville Rd Ste 301, Bethlehem, PA 18017 | 2010-07-02 |
| 1063651123 | Deepika Rao Kalisetti | Internal Medicine | 743 Jefferson Ave Ste 305, Scranton, PA 18510-1639 | 2009-02-13 |
| 1679591374 | Subrahmanyam Chivukula | Internal Medicine | 245 Mill Street, Bristol, PA 19007 | 2006-07-18 |
| 1710913736 | Stafford Michael Smith | Internal Medicine | 102 N Abington Rd, Suite #103, Clarks Green, PA 18411-2300 | 2006-06-23 |
| 1891732541 | Gregory D Cox | Internal Medicine | 2135 Noll Dr Ste D, Lancaster, PA 17603-7602 | 2006-06-01 |
| 1811934565 | Scott T. Riebel | Internal Medicine | 1600 6th Ave Ste 108, York, PA 17403-2626 | 2006-06-01 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSPORT |
| Zip Code | 17701 |
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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.