Individual provider Active NPI

William James Tronvig, DPM

  • Primary Podiatric Medicine Podiatrist
  • Aberdeen, WA
National Provider Identifier
1427065697
Registry record updated Feb 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
252-01:0000320 Issued in WA
Practice address
1220 Basich Blvd
Suite #C
Aberdeen, WA 98520-1034
Phone
(360) 533-7388
Fax
(360) 533-2529
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 252-01:0000320 WA Primary
Foot Surgery Podiatrist 213ES0131X 252-01:0000320 WA

Addresses

Primary practice location

1220 Basich Blvd
Suite #C
Aberdeen, WA 98520-1034

Mailing address

1220 Basich Blvd
Suite #C
Aberdeen, WA 98520-1034
Phone (360) 533-7388

Other identifiers 4

IdentifierTypeStateIssuer
TR8319OtherWAREGENCE RIDER NUMBER
1078989MedicaidWA
480001662OtherWARAILROAD MEDICARE
91-1181077OtherWAFEDERAL TAX ID

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050629000801 WA Practitioner - Podiatry 6305882465

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
252-01:0000320WAMDFoot Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235433600000",
    "number": "1427065697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 BASICH BLVD",
            "address_2": "SUITE #C",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985201034",
            "telephone_number": "360-533-7388",
            "fax_number": "360-533-2529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 BASICH BLVD",
            "address_2": "SUITE #C",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985201034",
            "telephone_number": "360-533-7388",
            "fax_number": "360-533-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRONVIG",
        "first_name": "WILLIAM",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2009-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "WA",
            "license": "252-01:0000320",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "WA",
            "license": "252-01:0000320",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE RIDER NUMBER",
            "identifier": "TR8319",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1078989",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480001662",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "91-1181077",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, WA

Sources for this page

Verify at the official NPI Registry.