Individual provider Active NPI

William Joseph Antonucci, CRNA

  • Certified Registered Nurse Anesthetist
  • Greensburg, PA
National Provider Identifier
1104822345
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN329753L Issued in PA
Practice address
532 W Pittsburgh St
Greensburg, PA 15601-2239
Phone
(724) 832-4003
Fax
(724) 832-5101
NPI assigned
Jun 22, 2005
Last updated
Apr 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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 RN329753L PA Primary

Addresses

Primary practice location

532 W Pittsburgh St
Greensburg, PA 15601-2239

Mailing address

404 Walton Tea Room Rd
Greensburg, PA 15601-6424
Phone (724) 244-3030

Other practice location 1

320 E North Ave
Pittsburgh, PA 15212-4756
Phone (412) 359-6581

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wantonucci10555@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041217000716 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951368216 Reassigns benefits to 4 organizations
I20230615003452 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951368216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 293-4500

1500 5TH Ave
McKeesport, PA 15132-2422
Phone (412) 664-2000

2775 Mosside Blvd
Monroeville, PA 15146-2760
Phone (412) 357-3161

300 Halket St
Pittsburgh, PA 15213-3108

815 Freeport Rd
Pittsburgh, PA 15215-3399
Phone (412) 784-4396

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince May 16, 2022 Accepting new patients
Allegheny Clinic Current Accepting new patients
West Virginia University Medical Corporation CurrentSince Apr 18, 2023 Accepting new patients
Allegheny Clinic CurrentSince Feb 2, 2006 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Mar 18, 2016 Accepting new patients
West Virginia University Medical Corporation CurrentSince Apr 18, 2023 Accepting new patients
University of Pittsburgh Physicians CurrentSince May 16, 2022 Accepting new patients
Allegheny Clinic CurrentSince Feb 2, 2006 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
DLP Conemaugh Memorial Medical Center LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2014 Accepting new patients
DLP Conemaugh Memorial Medical Center LLC Current Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Mar 18, 2016 Accepting new patients
DLP Conemaugh Memorial Medical Center LLC CurrentSince Sep 1, 2014 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Uniontown Anesthesia Associates, LTD Past Accepting new patients
Allegheny Clinic Past Accepting new patients
Greene County Anesthesia Services,PC Past Accepting new patients
Laurel Anesthesia Associates, PC Past Accepting new patients
Western Pennsylvania Anesthesia Associates, LTD. Past Accepting new patients
Latrobe Anesthesia Associates, Inc Past Accepting new patients

Locations

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1086 Franklin St
Ste M4000
Johnstown, PA 15905
Phone (814) 534-7560

1301 Carlisle St
Natrona Hts, PA 15065
Phone (724) 224-5100

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

4800 Friendship Ave
Pittsburgh, PA 15224
Phone (412) 359-3030

815 Freeport Rd
Pittsburgh, PA 15215
Phone (412) 784-4000

225 S Center Ave
Somerset, PA 15501
Phone (814) 443-5000

500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Interoperability endpoints

  • Direct secure messaging: wantonucci10555@direct.ahn.org

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 8

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1104822345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 WALTON TEA ROOM RD",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016424",
            "telephone_number": "724-244-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 W PITTSBURGH ST",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156012239",
            "telephone_number": "724-832-4003",
            "fax_number": "724-832-5101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 E North Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152124756",
            "country_code": "US",
            "telephone_number": "412-359-6581",
            "fax_number": "412-359-3483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTONUCCI",
        "first_name": "WILLIAM",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN329753L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wantonucci10555@direct.ahn.org",
            "affiliation": "N",
            "address_1": "320 E North Ave",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152124756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.