William Jody Cromwell Sr., CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R535672 Issued in MS

Practice address

1002 E Madison St
Houston, MS 38851-2417

Phone

(662) 456-1163

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Amory Hma Inc

  • Hospitalist Physician
  • Amory, MS
  • NPI 1013938703
  NPD (past)
• Amory Primary Medicine Clinic

  • Internal Medicine Physician
  • Amory, MS
  • NPI 1417170721
  NPD (past)
• Tupelo Anesthesia Group PA

  • Anesthesiology Physician
  • Tupelo, MS
  • NPI 1558390443
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397692800000",
    "number": "1154340776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 E MADISON ST",
            "city": "HOUSTON",
            "state": "MS",
            "postal_code": "388512417",
            "telephone_number": "662-456-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 E MADISON ST",
            "city": "HOUSTON",
            "state": "MS",
            "postal_code": "388512417",
            "telephone_number": "662-456-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROMWELL",
        "first_name": "WILLIAM",
        "middle_name": "JODY",
        "name_suffix": "Sr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2014-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R535672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09013354",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRACE HOSPITAL NPI",
            "identifier": "1366465502",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaime D Castillo Jr., M.D.
• Chickasaw Dental Group L. L. C.
• Chickasaw Emergency Group LLC
• Torey Krause Collier, MD
• Jacqueline Cooper, RN
• Carlie Stanford Davidson
• Jacob Bailey Davis, FNP-C
• Lawrence Drake Dendy, LCSW
• Digestive Disease Center of Houston
• Eye Clinic of Houston Inc

• All providers in Houston, MS
• Certified Registered Nurse Anesthetist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.