NPIMap

Individual provider Active NPI

David Martin Tretheway Jr., MD

  • Anatomic Pathology Physician
  • Seattle, WA
National Provider Identifier
1073606117
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
FE60096740 Issued in WA
Practice address
University of Washington Medical Center
1959 NE Pacific, Ne110 Box 356100
Seattle, WA 98195-6100
Phone
(206) 598-6400
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X MD60142058 WA
Anatomic Pathology Physician 207ZP0101X FE60096740 WA Primary

Addresses

Primary practice location

University of Washington Medical Center
1959 NE Pacific, Ne110 Box 356100
Seattle, WA 98195-6100

Mailing address

University of Washington Medical Center
1959 NE Pacific Street;NE 110 Box 356100
Seattle, WA 98195-6100
Phone (206) 598-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100901001026 WA Practitioner - Pathology 3274657960 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Rochester School of Medicine and Dentistry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PeacehealthGroup PAC ID 5890689293, 188 clinicians
PeacehealthGroup PAC ID 9739092065, 101 clinicians

Practice addresses (Care Compare)

1615 Delaware St
Longview, WA 98632-2367
Phone (360) 636-4814

400 NE Mother Joseph PL
Vancouver, WA 98664-3200
Phone (360) 256-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
FE60096740WAMDAnatomic Pathology Physician
MD60142058WAMDClinical Pathology/Laboratory Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince May 8, 2023 Accepting new patients
Peacehealth CurrentSince May 8, 2023 Accepting new patients
Peacehealth CurrentSince May 8, 2023 Accepting new patients

Locations

1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818

400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1073606117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF WASHINGTON MEDICAL CENTER",
            "address_2": "1959 NE PACIFIC STREET;NE 110 BOX 356100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981956100",
            "telephone_number": "206-598-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF WASHINGTON MEDICAL CENTER",
            "address_2": "1959 NE PACIFIC, NE110 BOX 356100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981956100",
            "telephone_number": "206-598-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRETHEWAY",
        "first_name": "DAVID",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "WA",
            "license": "MD60142058",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "WA",
            "license": "FE60096740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.