Provider Demographics
NPI:1114942539
Name:TRAUGER, JAMES ANDREW (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ANDREW
Last Name:TRAUGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2415
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21802-2415
Mailing Address - Country:US
Mailing Address - Phone:410-749-4154
Mailing Address - Fax:410-860-9583
Practice Address - Street 1:1675 WOODBROOKE DRIVE
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804
Practice Address - Country:US
Practice Address - Phone:410-749-4154
Practice Address - Fax:410-860-9583
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0054979207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
0010W409OtherBCBS PROD FEP BLUE CHOICE
MD277594OtherMDIPA OPTIMUM CHOICE
327279OtherPRIME HEALTH
VA006407706Medicaid
MD107101700Medicaid
VA391051OtherTRIGON BCBS
200035699OtherRAILROAD MEDICARE
3002849OtherEMPIRE BCBS
3227110OtherAETNA
76914901H524PEOtherBCBS TRAD PRODUCTS
H524PEOtherUS DEPARTMENT OF LABOR
DE1000036056Medicaid
D54979OtherFREESTATE DELMARVA HEALTH
VA391051OtherTRIGON BCBS
MD107101700Medicaid