Active NPI
William Thomas Chythlook, M.D.
- Family Medicine Physician
- Tacoma, WA
National Provider Identifier
1467676155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 60458885
- Practice address
- 2209 E 32ND St
Tacoma, WA 98404-4922 - Phone
- (253) 593-0232
- NPI assigned
- Apr 12, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 60458885 | WA | Primary |
Addresses
Primary practice location
2209 E 32ND St
Tacoma, WA 98404-4922
Mailing address
2209 E 32ND St
Tacoma, WA 98404-4922
Phone (253) 593-0232
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1574092 | Medicaid | AK | |
| MDG798 | Other | AK | MEDICAID GROUP |
| MD9653 | Medicaid | AK | |
| 0000ZBBBD | Other | AK | MEDICARE GROUP |
| 44617 | Other | CO | MD LICENSE |
| 60458885 | Other | WA | WA MEDICAL LIC NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Loma Linda University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2209 E 32ND St
Tacoma, WA 98404-4922
Phone (253) 593-0232
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60458885 | WA | MD | Family Medicine Physician |
Practice roles
Interoperability endpoints
- william.chythlook.p1@direct.puyalluptribalhealth.nextgenshare.com
Organizations & group practices 23
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Tacoma, WA
- NPI 1063455665
-
- Clinic/Center
- Koliganek, AK
- NPI 1013079607
-
- Clinic/Center
- Ekwok, AK
- NPI 1104988799
-
- Clinic/Center
- Pilot Point, AK
- NPI 1174683825
-
- Clinic/Center
- Platinum, AK
- NPI 1285796870
-
- Clinic/Center
- Levelock, AK
- NPI 1366502767
-
- Clinic/Center
- South Naknek, AK
- NPI 1417018193
-
- Clinic/Center
- Twin Hills, AK
- NPI 1487716825
-
- Clinic/Center
- Perryville, AK
- NPI 1528128782
-
- Clinic/Center
- Chignik Lagoon, AK
- NPI 1578623641
-
- Clinic/Center
- Egegik, AK
- NPI 1699836007
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tacoma General Allenmore
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408060800000",
"number": "1467676155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2209 E 32ND ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984044922",
"telephone_number": "253-593-0232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2209 E 32ND ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984044922",
"telephone_number": "253-593-0232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHYTHLOOK",
"first_name": "WILLIAM",
"middle_name": "THOMAS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2014-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "60458885",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1574092",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP",
"identifier": "MDG798",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD9653",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "0000ZBBBD",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD LICENSE",
"identifier": "44617",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA MEDICAL LIC NUMBER",
"identifier": "60458885",
"state": "WA"
}
],
"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 Aug 15, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.