Active NPI
William James Tronvig, DPM
- Primary Podiatric Medicine Podiatrist
- Aberdeen, WA
National Provider Identifier
1427065697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 252-01:0000320
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TR8319 | Other | WA | REGENCE RIDER NUMBER |
| 1078989 | Medicaid | WA | |
| 480001662 | Other | WA | RAILROAD MEDICARE |
| 91-1181077 | Other | WA | FEDERAL 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050629000801 | WA | Practitioner - Podiatry | 6305882465 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 252-01:0000320 | WA | MD | Foot 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.