Active NPI
William Reno, CRNA
- Certified Registered Nurse Anesthetist
- Fort Defiance, AZ
National Provider Identifier
1043399710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN113844
- Practice address
- Fort Defiance Indian Hospital
Corner Or RT N12 & N7
Fort Defiance, AZ 86504 - Phone
- (928) 729-8741
- NPI assigned
- Nov 3, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN113844 | AZ | Primary |
Addresses
Primary practice location
Fort Defiance Indian Hospital
Corner Or RT N12 & N7
Fort Defiance, AZ 86504
Mailing address
PO Box 693
Bisbee, AZ 85603-0693
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Mayo Medical School, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1124 10TH St
Alamogordo, NM 88310-6414
Phone (575) 434-1200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN113844 | AZ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fillmore Eye Clinic Incorporated | Current | Accepting new patients | |
| Fillmore Eye Clinic Incorporated | Current | Accepting new patients | |
| East Valley Endoscopy LLC | Past | Accepting new patients | |
| Anesthesia Group of Grand Island PC | Past | Accepting new patients | |
| DHHS PHS Naihs Fort Defiance Hospital | Past | Accepting new patients |
Locations
1124 10th St
Alamogordo, NM 88310
Phone (575) 434-1200
Interoperability endpoints
- wreno@fec.intellechartdirect.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Alamogordo, NM
- NPI 1083931182
-
- Ophthalmology Physician
- Alamogordo, NM
- NPI 1104295906
-
dba PHS Fort Defiance Indian Hospital
- General Acute Care Hospital
- Fort Defiance, AZ
- NPI 1700962131
-
- Ambulatory Surgical Clinic/Center
- Mesa, AZ
- NPI 1164414447
-
- Pain Medicine (Anesthesiology) Physician
- Grand Island, NE
- NPI 1346216793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Defiance, AZ
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.