William Troy Jackson

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

D138747 Issued in IA

Practice address

200 Hawkins Dr
Department of Anesthesia
Iowa City, IA 52242-1009

Phone

(319) 384-2348

NPI assigned

Dec 18, 2014

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

Medicare fee-for-service enrollment

Enrolled in KY, LA2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nuedge Anesthesia LLCGroup PAC ID 7911340575, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Spine Hospital of Louisiana Hospital, Baton Rouge, LA, CCN 190266

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

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.

• Nuedge Anesthesia LLC

  • Anesthesiology Physician
  • Baton Rouge, LA
  • NPI 1629759782
  Medicare reassignment Care Compare group NPD
• Diversified Professionals, Inc.

  • Anesthesiology Physician
  • Baton Rouge, LA
  • NPI 1700923992
  Medicare reassignment NPD
• Professional Anesthesia Services of Kentucky PLLC

  • Anesthesiology Physician
  • Louisville, KY
  • NPI 1992212807

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• NMC Operating Company LLC

  • General Acute Care Hospital
  • Baton Rouge, LA
  • NPI 1932204427
  Care Compare affiliation

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418860800000",
    "number": "1164820429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "address_2": "DEPARTMENT OF ANESTHESIA",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-384-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "address_2": "DEPARTMENT OF ANESTHESIA",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-384-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "WILLIAM",
        "middle_name": "TROY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-18",
        "last_updated": "2014-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D138747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omar Jaber, M.D
• Bayaan Jabr, DDS
• Ashley Jackson, COTA/L
• Jay Brooks Jackson, M.D.
• Kyle Jackson, MD
• Marisa Jacob-Leonce, MD
• Casey Elizabeth Jacobs, MD
• Dean A Jacobs, CHIROPRACTOR
• Deanna Marie Jacobs, PHARMD
• Melissa Jacobsen, PA-C

• Certified Registered Nurse Anesthetist in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Certified Registered Nurse Anesthetist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.