Individual provider Active NPI

William W. Burlingame, CRNA

  • Certified Registered Nurse Anesthetist
  • Longview, TX
National Provider Identifier
1104123355
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
736487 Issued in TX
Practice address
1907 Warwick Circle East
Longview, TX 75601-3134
Phone
(903) 757-4453
NPI assigned
Feb 24, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 736487 TX Primary

Addresses

Primary practice location

1907 Warwick Circle East
Longview, TX 75601-3134

Mailing address

1907 Warwick Circleeast
Longview, TX 75601-3134
Phone (903) 757-4453

Other names 1

  • William W. Burlingame Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110617000471 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325226590 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia III PAGroup PAC ID 0042630501, 393 clinicians

Practice addresses (Care Compare)

2901 4TH St
Longview, TX 75605-5128
Phone (903) 232-3606

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
736487TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia III PA Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2021 Accepting new patients
Arlington Anesthesia Group, PLLC CurrentSince Nov 5, 2018 Accepting new patients
GPS Anesthesia and Pain MGMT, P.C. CurrentSince Apr 15, 2011 Accepting new patients
Longview Medical Center LP CurrentSince Jul 26, 2017 Accepting new patients
Texas Ams PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2020 Accepting new patients
Longview Medical Center LP Nurse Anesthetist, Certified Registered CurrentSince Jul 26, 2017 Accepting new patients
South Arlington Surgical Providers, LLC PastSince Jan 5, 2020 Accepting new patients

Locations

10520 El Diente Ct
Englewood, CO 80112
Phone (720) 248-0797

350 E Interstate 20
Ste 200
Arlington, TX 76018
Phone (214) 254-4299

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

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

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

1404 N 4th St
Longview, TX 75601
Phone (903) 247-2050

2009 N Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 572-6655

Organizations & group practices 7

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": "1298505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1104123355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 WARWICK CIRCLEEAST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756013134",
            "telephone_number": "903-757-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 WARWICK CIRCLE EAST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756013134",
            "telephone_number": "903-757-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLINGAME",
        "first_name": "WILLIAM",
        "middle_name": "W.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-24",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "736487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "BURLINGAME",
            "middle_name": "W.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.