William Reno, CRNA

Key facts

NPI

1043399710

Entity type

Individual (NPI type 1)

Primary specialty

Certified Registered Nurse Anesthetist 367500000X

License

RN113844 (AZ)

Practice address

Fort Defiance Indian Hospital
Corner Or RT N12 & N7
Fort Defiance, AZ 86504

Phone

(928) 729-8741

NPI assigned

Nov 3, 2006

Sex

Male

Sole proprietor

Yes

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.

• Fillmore Eye Clinic Incorporated Ophthalmology Physician · Alamogordo, NM · NPI 1083931182
  Medicare reassignment Care Compare group NPD NM
• Fillmore Eye Clinic Incorporated Ambulatory Surgical Clinic/Center · Alamogordo, NM · NPI 1487657862
  Care Compare group
• Fillmore Eye Clinic Incorporated Ophthalmology Physician · Alamogordo, NM · NPI 1104295906
  NPD
• DHHS PHS Naihs Fort Defiance Hospital General Acute Care Hospital · Fort Defiance, AZ · NPI 1700962131
  NPD (past)
• East Valley Endoscopy LLC Ambulatory Surgical Clinic/Center · Mesa, AZ · NPI 1164414447
  NPD (past)
• Anesthesia Group of Grand Island PC Pain Medicine (Anesthesiology) Physician · Grand Island, NE · NPI 1346216793
  NPD (past)

Medicare Care Compare profile

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Mayo Medical School, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fillmore Eye Clinic Incorporated (13 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NM

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wreno@fec.intellechartdirect.net

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043399710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 693",
            "city": "BISBEE",
            "state": "AZ",
            "postal_code": "856030693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FORT DEFIANCE INDIAN HOSPITAL",
            "address_2": "CORNER OR RT N12 & N7",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "86504",
            "telephone_number": "928-729-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENO",
        "first_name": "WILLIAM",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "RN113844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN/CRNA LICENSE",
            "identifier": "41-209-00153",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Christine A Rizkalla, DMD

All providers in Fort Defiance, AZ · Certified Registered Nurse Anesthetist in Arizona