Active NPI
William John McGowan, CRNA
- Certified Registered Nurse Anesthetist
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704164495
- Practice address
- 3333 Evergreen Dr NE
Grand Rapids, MI 49525-9756 - Phone
- (616) 364-4200
- Fax
- (616) 364-7347
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 4704164495 | MI | Primary |
Addresses
Primary practice location
3333 Evergreen Dr NE
Grand Rapids, MI 49525-9756
Mailing address
3333 Evergreen Dr NE
Grand Rapids, MI 49525-9756
Phone (616) 364-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4828282 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000
4100 Park Forest Dr
Traverse City, MI 49684-7331
Phone (231) 392-8900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Medical Group | Current | Accepting new patients | |
| Munson Healthcare Charlevoix Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Munson Healthcare Charlevoix Hospital | Current | Accepting new patients | |
| Munson Medical Group | Current | Accepting new patients | |
| Munson Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Munson Healthcare Otsego Memorial Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Munson Medical Center | Current | Accepting new patients | |
| Munson Healthcare Cadillac | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Munson Healthcare Charlevoix Hospital | Current | Accepting new patients | |
| Munson Healthcare Cadillac | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Munson Medical Group | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Munson Healthcare Cadillac | Past | Accepting new patients |
Locations
3775 Momentum Pl
Chicago, IL 60689
2891 Momentum Pl
Chicago, IL 60689
400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200
14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840
829 N Center Ave
Ste 210
Gaylord, MI 49735
Phone (989) 731-7860
825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100
1105 Sixth St
Ste 103
Traverse City, MI 49684
Phone (231) 935-6455
4100 Park Forest Dr
Traverse City, MI 49684
Phone (231) 392-8900
1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000
1200 Sixth St
Ste 200
Traverse City, MI 49684
Organizations & group practices 15
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
- Traverse City, MI
- NPI 1710735287
Nurse Anesthetist, Certified Registered
-
dba Traverse Heart and Vascular
- Cardiovascular Disease Physician
- Traverse City, MI
- NPI 1821398322
-
dba Munson Healthcare Cadillac Anesthesia
- Anesthesiology Physician
- Cadillac, MI
- NPI 1871991596
Nurse Anesthetist, Certified Registered
-
dba Physician Clinic of Charlevoix
- Pediatrics Physician
- Charlevoix, MI
- NPI 1326124058
-
- Certified Registered Nurse Anesthetist
- Gaylord, MI
- NPI 1376568865
Nurse Anesthetist, Certified Registered
-
- Psychiatry Physician
- Traverse City, MI
- NPI 1720955081
-
- Certified Registered Nurse Anesthetist
- Charlevoix, MI
- NPI 1063598845
Nurse Anesthetist, Certified Registered
-
dba Munson Healthcare Charlevoix Walk-In Clinic
- Family Medicine Physician
- Charlevoix, MI
- NPI 1972367043
-
- Anesthesiology Physician
- Gaylord, MI
- NPI 1518982073
-
dba MHC Great Lakes Plastic Surgery & Skin Center- Petoskey
- Plastic Surgery Physician
- Petoskey, MI
- NPI 1770374530
-
dba Munson Healthcare OMH Medical Group-Gaylord
- General Practice Physician
- Gaylord, MI
- NPI 1821064643
-
- Psychiatric Hospital Unit
- Traverse City, MI
- NPI 1891586103
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Traverse City, MI
- NPI 1952307852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404345600000",
"number": "1184636276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 EVERGREEN DR NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259756",
"telephone_number": "616-364-4200",
"fax_number": "616-364-7347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 EVERGREEN DR NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259756",
"telephone_number": "616-364-4200",
"fax_number": "616-364-7347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOWAN",
"first_name": "WILLIAM",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2014-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704164495",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4828282",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.