Individual provider Active NPI

William L Seal, CRNA

  • Certified Registered Nurse Anesthetist
  • Monroe, MI
National Provider Identifier
1033102215
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704227416 Issued in MI
Practice address
740 N Macomb St
Monroe, MI 48162-7813
Phone
(734) 240-5238
NPI assigned
Aug 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NA06035 OH
Certified Registered Nurse Anesthetist 367500000X 4704227416 MI Primary

Addresses

Primary practice location

740 N Macomb St
Monroe, MI 48162-7813

Mailing address

8252 Doyle Dr
Sylvania, OH 43560-4502
Phone (419) 824-4216

Other identifiers 4

IdentifierTypeStateIssuer
000000362858OtherOHANTHEM
4613510MedicaidMI
2194156MedicaidOH
4734562MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040115001178 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 5193626810 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians

Practice addresses (Care Compare)

2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704227416MIMDCertified Registered Nurse Anesthetist
NA06035OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Ohio Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2021 Accepting new patients
Promedica Central Physicians CurrentSince Jun 22, 2024 Accepting new patients
Anesthesia & Intensive Care Consultants,Inc. Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2021 Accepting new patients
Promedica Central Physicians CurrentSince Jun 22, 2024 Accepting new patients
Northstar Anesthesia of Ohio LLC CurrentSince Oct 1, 2015 Accepting new patients
Anesthesiology Consultants of Toledo, Inc Past Accepting new patients

Locations

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

1404 E 2nd St
Defiance, OH 43512
Phone (567) 368-1008

5901 Monclova Rd
Maumee, OH 43537
Phone (419) 893-5911

2801 Bay Park Dr
Oregon, OH 43616
Phone (419) 690-7652

2600 Navarre Ave
Fl 3
Oregon, OH 43616
Phone (419) 696-7701

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

12623 Eckel Junction Rd
Perrysburg, OH 43551
Phone (567) 368-1434

2615 E High St
Springfield, OH 45505
Phone (888) 861-3994

5200 Harroun Rd
Sylvania, OH 43560
Phone (419) 824-1305

7634 W Central Ave
Toledo, OH 43617
Phone (419) 841-2303

3404 W Sylvania Ave
Toledo, OH 43623
Phone (419) 407-1422

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033102215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8252 DOYLE DR",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435604502",
            "telephone_number": "419-824-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 N MACOMB ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481627813",
            "telephone_number": "734-240-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAL",
        "first_name": "WILLIAM",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "NA06035",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704227416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000362858",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4613510",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2194156",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4734562",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.