NPIMap

Organization Active NPI

Harbor Foot & Ankle Clinic PLLC

  • Foot & Ankle Surgery Podiatrist
  • Aberdeen, WA
National Provider Identifier
1881923050
Registry record updated Aug 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO 00000320 Issued in WA
Legal business name
HARBOR FOOT & ANKLE CLINIC PLLC
Practice address
1220 Basich Blvd Ste C
Aberdeen, WA 98520-1053
Phone
(360) 533-7388
Fax
(360) 533-2529
NPI assigned
Dec 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2010

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

Authorized official

Name
Dr. William J Tronvig, DPM
Title
Podiatrist
Phone
(360) 533-7388

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO 00000320 WA Primary
Customized Equipment (DME) 332BC3200X
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

1220 Basich Blvd Ste C
Aberdeen, WA 98520-1053

Mailing address

1220 Basich Blvd Ste C
Aberdeen, WA 98520-1053
Phone (360) 533-7388

Other identifiers 2

IdentifierTypeStateIssuer
1078989MedicaidWA
18653OtherWAL&I

Other names 1

  • WILLIAM TRONVIG SOLE MBR Other name

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGDCAA

NPI Registry JSON

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1881923050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 BASICH BLVD STE C",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985201053",
            "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 STE C",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985201053",
            "telephone_number": "360-533-7388",
            "fax_number": "360-533-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR FOOT & ANKLE CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-16",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "TRONVIG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "360-533-7388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO 00000320",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1078989",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "18653",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WILLIAM TRONVIG SOLE MBR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.