Individual provider Active NPI

George S. Williams, CRNA

  • Certified Registered Nurse Anesthetist
  • Sun Lakes, AZ
National Provider Identifier
1215934419
Registry record updated Nov 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN068889 Issued in AZ
Practice address
10030 E Diamond Dr
Sun Lakes, AZ 85248-6121
Phone
(480) 510-5797
NPI assigned
Jul 1, 2005
Last updated
Nov 23, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2012

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 RN068889 AZ Primary

Addresses

Primary practice location

10030 E Diamond Dr
Sun Lakes, AZ 85248-6121

Mailing address

10030 E Diamond Dr
Sun Lakes, AZ 85248-6121
Phone (480) 510-5797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31310AZMDEmergency Medicine Physician
RN068889AZMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Radius Anesthesia of Arizona PLLC CurrentSince Mar 16, 2019 Accepting new patients
Casa Grande Community Hospital Past Accepting new patients
Squaw Peak Anesthesia Inc Past Accepting new patients
East Valley Endoscopy LLC Past Accepting new patients
Squaw Peak Anesthesia Inc Nurse Anesthetist, Certified Registered PastSince Sep 5, 2021 Accepting new patients
Regional Care Physicians Grooup Past Accepting new patients

Locations

300 W Clarendon Ave
Ste 230
Phoenix, AZ 85013
Phone (323) 470-0335

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353628800000",
    "number": "1215934419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10030 E DIAMOND DR",
            "city": "SUN LAKES",
            "state": "AZ",
            "postal_code": "852486121",
            "telephone_number": "480-510-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10030 E DIAMOND DR",
            "city": "SUN LAKES",
            "state": "AZ",
            "postal_code": "852486121",
            "telephone_number": "480-510-5797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "GEORGE",
        "middle_name": "S.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2012-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "RN068889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Lakes, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2012; 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.