Individual provider · Type 1 NPI

Shane Trotter, PA

Physician Assistant · Fort Wayne, IN

NPI number 1407284151 Active

Practice location

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701

Call (317) 555-5555 Map

Mailing address

332 Congress Park Dr
Dayton, OH 45459-4133

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X10001867A (IN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1407284151

Shane Trotter, PA's National Provider Identifier is 1407284151, issued on Oct 16, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Mar 25, 2026.