Organization Active NPI

Trent L Tredway MD

Doing business as Tredway Spine Institute

  • Specialist
  • Seattle, WA
National Provider Identifier
1699140426
Registry record updated Jan 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
603-563-792 Issued in WA
Legal business name
TRENT L TREDWAY MD
Doing business as
Tredway Spine Institute
Practice address
901 Boren Ave Ste 600
Seattle, WA 98104-3596
Phone
(206) 799-2132
NPI assigned
Dec 4, 2015
Last updated
Jan 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2016

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

Authorized official

Name
Dr. Trent L Tredway, M.D.NPI 1013074558
Title
Owner
Phone
(206) 799-2132

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 603-563-792 WA Primary

Addresses

Primary practice location

901 Boren Ave Ste 600
Seattle, WA 98104-3596

Mailing address

901 Boren Ave Ste 600
Seattle, WA 98104-3596

Other names 1

  • Tredway Spine Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160223000587 WA Part B Supplier - Clinic/Group Practice 5193020550 Receives reassigned benefits from 2 practitioners
Practice locations: Puyallup, WA

National Provider Directory

National Provider Directory

Locations

929 E Main
Ste 215
Puyallup, WA 98372
Phone (206) 623-1334

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13091/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453593600000",
    "number": "1699140426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 BOREN AVE STE 600",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 BOREN AVE STE 600",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043596",
            "telephone_number": "206-799-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRENT L TREDWAY MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-04",
        "last_updated": "2016-01-24",
        "status": "A",
        "authorized_official_last_name": "TREDWAY",
        "authorized_official_first_name": "TRENT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-799-2132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "603-563-792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tredway Spine Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.