Basic Information
| Provider Information | |||||||||
| NPI: | 1811351869 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TRAUSCHT | ||||||||
| FirstName: | DAVID | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 909 SQUALICUM WAY STE 102 | ||||||||
| Address2: | |||||||||
| City: | BELLINGHAM | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982252077 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3606473377 | ||||||||
| FaxNumber: | 3607523214 | ||||||||
| Practice Location | |||||||||
| Address1: | 909 SQUALICUM WAY STE 102 | ||||||||
| Address2: | |||||||||
| City: | BELLINGHAM | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982252077 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3606473377 | ||||||||
| FaxNumber: | 3607523214 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/06/2016 | ||||||||
| LastUpdateDate: | 03/22/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/22/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | MD61078007 | WA | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
ID Information
| ID | Type | State | Issuer | Description | 2061127 | 05 | WA | MEDICAID |