IndividualActive
Stanford Trachtenberg, M.D.
NPI 1619287414 · Diagnostic Radiology Physician · Wilson, WY
Provider details
- NPI number
- 1619287414
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5033A (WY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3680 Lake Creek Drive
Wilson, WY 83014
Phone: (307) 733-3642
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 344
Teton Village, WY 83025-0344
Registry dates
- Enumerated
- 2010-10-14
- Last updated
- 2010-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.