Individual provider Active NPI

Edward Gavronski, A.T.,H.A.S.

  • Audiologist-Hearing Aid Fitter
  • Tacoma, WA
National Provider Identifier
1235524455
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
60371050 Issued in WA
Practice address
4502 S Steele St Ste 100
Tacoma, WA 98409-7226
Phone
(253) 475-5587
Fax
(253) 475-5597
NPI assigned
Apr 3, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 60371050 WA Primary

Addresses

Primary practice location

4502 S Steele St Ste 100
Tacoma, WA 98409-7226

Mailing address

12211 Edgewood Ave SW Apt 6
Lakewood, WA 98498-1289
Phone (253) 579-8617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
60371050WAMDAudiologist-Hearing Aid Fitter

NPI Registry JSON

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428019200000",
    "number": "1235524455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12211 EDGEWOOD AVE SW APT 6",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984981289",
            "telephone_number": "253-579-8617",
            "fax_number": "253-475-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 S STEELE ST STE 100",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097226",
            "telephone_number": "253-475-5587",
            "fax_number": "253-475-5597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVRONSKI",
        "first_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "A.T.,H.A.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-03",
        "last_updated": "2015-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WA",
            "license": "60371050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.