MEDICARE: DR. MELVIN MAURICE TROTTER D.P.M.,M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	PD086R	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568565679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELVIN MAURICE TROTTER D.P.M.,M.S.

Provider Business Mailing Address
First Line	:	8333 GOODWOOD BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-7744
Country	:	US
Telephone Number	:	225-216-3338
Fax Number	:	225-216-7175

Provider Business Practice Location Address
First Line	:	8333 GOODWOOD BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-7744
Country	:	US
Telephone Number	:	225-216-3338
Fax Number	:	225-216-3338

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2006
Last Update Date	:	04/29/2011

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