Active NPI
William C Wilbur, CRNA
- Certified Registered Nurse Anesthetist
- Panama City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 9167040
- Practice address
- 801 E 6TH St
Suite 205
Panama City, FL 32401-3661 - Phone
- (850) 785-3185
- Fax
- (850) 785-6233
- NPI assigned
- Jan 12, 2011
- 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 | 9167040 | FL | Primary |
Addresses
Primary practice location
801 E 6TH St
Suite 205
Panama City, FL 32401-3661
Mailing address
801 E 6TH St
Suite 205
Panama City, FL 32401-3661
Phone (850) 785-3185
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9167040 | Other | FL | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9167040 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arlington Anesthesia Group, PLLC | Current | Accepting new patients | |
| Pueblo Pathology Group, PC | Current | Accepting new patients | |
| Epix Anesthesia of Colorado Springs, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Amel Med, LLC | Current | Accepting new patients | |
| Epix Anesthesia of Colorado Springs, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Novamed Surgery Center of Colorado Springs, LLC | Past | Accepting new patients |
Locations
2940 N Circle Dr
Colorado Springs, CO 80909
Phone (719) 635-7321
10520 El Diente Ct
Ste A
Englewood, CO 80112
Phone (720) 414-5310
2460 Patterson Rd
Unit 4
Grand Junction, CO 81505
Phone (970) 245-0990
1000 Wellington Ave
Grand Junction, CO 81501
Phone (970) 243-9000
400 W 16th St
Pueblo, CO 81003
Phone (719) 584-4000
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.
-
- Anesthesiology Physician
- Grand Junction, CO
- NPI 1356894059
-
- Certified Registered Nurse Anesthetist
- Colorado Springs, CO
- NPI 1295008472
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Sedalia, CO
- NPI 1467833897
-
- Certified Registered Nurse Anesthetist
- Colorado Springs, CO
- NPI 1902589963
Nurse Anesthetist, Certified Registered
-
- Anatomic Pathology & Clinical Pathology Physician
- Pueblo, CO
- NPI 1275690588
-
- Ambulatory Surgical Clinic/Center
- Colorado Springs, CO
- NPI 1750386322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294790400000",
"number": "1154626703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 E 6TH ST",
"address_2": "SUITE 205",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324013661",
"telephone_number": "850-785-3185",
"fax_number": "850-785-6233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 E 6TH ST",
"address_2": "SUITE 205",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324013661",
"telephone_number": "850-785-3185",
"fax_number": "850-785-6233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILBUR",
"first_name": "WILLIAM",
"middle_name": "C",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-12",
"last_updated": "2011-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "9167040",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "9167040",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.