# DR. TRACY A DORHEIM

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1245210772
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 17733 | NE | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 31536 | IA | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | MD-16312 | HI | Yes |

## Other

- **Enumeration date:** 01/19/2006
- **Last updated:** 06/09/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1935692 | — | IA |
| 05 | — | 208618314 | — | MO |
| 01 | — | 330005611 | RAILROAD | NE |
| 01 | — | 35225 | BCBS NE | NE |
| 01 | — | 43492 | BCBS IA | IA |
| 01 | — | 4707367990008 | UPREHS | NE |
| 01 | — | 5111 | MIDLANDS CHOICE | NE |