Active NPI
William L Johnson, CRNA
- Certified Registered Nurse Anesthetist
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 132482
- Practice address
- 1106 Yiotis Way
Columbia, MO 65203-6660 - Phone
- (573) 673-6861
- Fax
- (573) 443-2905
- NPI assigned
- Dec 7, 2006
- 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 | 132482 | MO | Primary |
Addresses
Primary practice location
1106 Yiotis Way
Columbia, MO 65203-6660
Mailing address
1106 Yiotis Way
Columbia, MO 65203-6660
Phone (573) 673-6861
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3001 Ave a
Dodge City, KS 67801-2270
Phone (850) 985-9180
Hospital & facility affiliations
- Neosho Memorial Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 132482 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Colleagues Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Clinical Colleagues KS PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mid-America Anesthesia Consultants, PC | Past | Accepting new patients | |
| St John'S Regional Medical Center | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| St Johns Regional Medical Center | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1260 E State Road 205
Columbia City, IN 46725
Phone (260) 248-9000
1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475
629 S Plummer Ave
Chanute, KS 66720
Phone (316) 431-4000
3001 Avenue A
Dodge City, KS 67801
Phone (620) 225-8400
1 Stiles Rd
Ste 301
Salem, NH 03079
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Chanute, KS
- NPI 1548813967
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Van Wert, OH
- NPI 1992725766
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Columbia, MO
- NPI 1083728463
-
- Anesthesiology Physician
- Joplin, MO
- NPI 1700032653
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Joplin, MO
- NPI 1841240546
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Medical Specialty Clinic/Center
- Chanute, KS
- NPI 1023251469
Hospital
-
- Critical Access Hospital
- Chanute, KS
- NPI 1073566949
-
- Orthopaedic Surgery Physician
- Chanute, KS
- NPI 1619261211
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389744000000",
"number": "1063571933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1106 YIOTIS WAY",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652036660",
"telephone_number": "573-673-6861",
"fax_number": "573-443-2905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 YIOTIS WAY",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652036660",
"telephone_number": "573-673-6861",
"fax_number": "573-443-2905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "WILLIAM",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-07",
"last_updated": "2014-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "132482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.