Active NPI
William Clifton Trout, DPM
- Podiatrist
- Meadville, PA
National Provider Identifier
1750358263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC002086L
- Practice address
- 217 North St
Meadville, PA 16335-3322 - Phone
- (814) 333-9196
- Fax
- (814) 333-9196
- NPI assigned
- Mar 2, 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC002086L | PA | Primary |
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
217 North St
Meadville, PA 16335-3322
Mailing address
217 North St
Meadville, PA 16335-3322
Phone (814) 333-9196
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000790418 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC002086L | PA | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199059200000",
"number": "1750358263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 NORTH ST",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163353322",
"telephone_number": "814-333-9196",
"fax_number": "814-333-9196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 NORTH ST",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163353322",
"telephone_number": "814-333-9196",
"fax_number": "814-333-9196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROUT",
"first_name": "WILLIAM",
"middle_name": "CLIFTON",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-02",
"last_updated": "2007-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC002086L",
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000790418",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Meadville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.