Individual provider Active NPI

William Lassiter, MD

  • Anesthesiology Physician
  • Fayetteville, AR
National Provider Identifier
1083005417
Registry record updated Feb 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
E-16955 Issued in AR
Practice address
248 Napa Dr
Fayetteville, AR 72703-9747
Phone
(870) 217-1031
NPI assigned
Feb 6, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X S7706 TX
General Practice Physician 208D00000X 29770 NE
Anesthesiology Physician 207L00000X E-16955 AR Primary

Addresses

Primary practice location

248 Napa Dr
Fayetteville, AR 72703-9747

Mailing address

248 Napa Dr
Fayetteville, AR 72703-9747
Phone (870) 217-1031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201013002575 TX Practitioner - Anesthesiology 4981024908 Reassigns benefits to 2 organizations
I20231109001012 AR Practitioner - Anesthesiology 4981024908 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Arkansas College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renew Medical Group of Arkansas LTDGroup PAC ID 3173056298, 129 clinicians

Practice addresses (Care Compare)

2708 S Rife Medical LN
Rogers, AR 72758-1452
Phone (479) 338-8000

2710 S Rife Medical LN
Rogers, AR 72758-1452
Phone (479) 338-8000

3101 SE 14TH St
Bentonville, AR 72712-4900
Phone (479) 338-8000

7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone (479) 314-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29770NEMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Medical Group of Arkansas LTD Anesthesiology CurrentSince Feb 1, 2025 Accepting new patients
Premier Anesthesia of Arkansas Professional Corporation Anesthesiology CurrentSince Sep 20, 2023 Accepting new patients
Texas Ams PLLC Anesthesiology CurrentSince Jan 21, 2021 Accepting new patients
El Paso Ams, PLLC Anesthesiology CurrentSince Jul 24, 2020 Accepting new patients

Locations

3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000

2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804

1815 N Stanton St
El Paso, TX 79902
Phone (915) 533-8412

1620 N Mesa St
El Paso, TX 79902
Phone (210) 660-5040

2000 Transmountain Rd
El Paso, TX 79911
Phone (915) 247-8893

1501 N Mesa St
Ste 300
El Paso, TX 79902
Phone (915) 261-7226

1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361

Interoperability endpoints

  • Direct secure messaging: wlassiter46529@washingtonregional.direct-ci.com

Organizations & group practices 4

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": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738368000000",
    "number": "1083005417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 NAPA DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727039747",
            "telephone_number": "870-217-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 NAPA DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727039747",
            "telephone_number": "870-217-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASSITER",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-06",
        "last_updated": "2025-02-01",
        "certification_date": "2025-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "S7706",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NE",
            "license": "29770",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AR",
            "license": "E-16955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.