Active NPI
Walter J. Trautman III, MD
- Anesthesiology Physician
- Everett, WA
National Provider Identifier
1407801327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD00033661
- Practice address
- 1321 Colby Ave
Everett, WA 98201-1665 - Phone
- (425) 261-2000
- Fax
- (425) 261-4462
- NPI assigned
- May 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD00033661 | WA | Primary |
Addresses
Primary practice location
1321 Colby Ave
Everett, WA 98201-1665
Mailing address
10 Commerce Dr
New Rochelle, NY 10801-5214
Phone (914) 637-3510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8510331 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080616000691 | WA | Practitioner - Anesthesiology | 0648341867 | Practice locations: Seattle, WA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Wa Anesthesia Services, P.C. | Anesthesiology | Past | Accepting new patients |
| Bellingham Anesthesia Associates, P.S. | Anesthesiology | Past | Accepting new patients |
| Anesthesia and Pain Service | Past | Accepting new patients | |
| Northwest Anesthesiologists, PS | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Clinic/Center
- Seattle, WA
- NPI 1356575849
-
- Anesthesiology Physician
- Bellingham, WA
- NPI 1609893460
-
- Anesthesiology Physician
- Seattle, WA
- NPI 1932157625
-
- Anesthesiology Physician
- Everett, WA
- NPI 1669615894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254873600000",
"number": "1407801327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 COMMERCE DR",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108015214",
"telephone_number": "914-637-3510",
"fax_number": "914-819-0061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 COLBY AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982011665",
"telephone_number": "425-261-2000",
"fax_number": "425-261-4462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAUTMAN",
"first_name": "WALTER",
"middle_name": "J.",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2009-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "MD00033661",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8510331",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.