Active NPI
Donald G Wiliams, CRNA
- Certified Registered Nurse Anesthetist
- Westerville, OH
National Provider Identifier
1215938295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- COA.01784-NA
- Practice address
- 500 S Cleveland Ave
Westerville, OH 43081-8971 - Phone
- (614) 898-6659
- Fax
- (614) 898-8631
- NPI assigned
- Aug 2, 2005
- 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 | COA.01784-NA | OH | Primary |
Addresses
Primary practice location
500 S Cleveland Ave
Westerville, OH 43081-8971
Mailing address
PO Box 20452
Coa-Credentialing
Columbus, OH 43220-0452
Phone (614) 442-2406
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0133448 | Medicaid | OH | |
| 430048082 | Other | OH | RAILROAD MEDICARE |
| 000000206806 | Other | OH | ANTHEM BCBS |
| 430048082 | Other | OH | BUREAU WORKERS COMP |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415923200000",
"number": "1215938295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20452",
"address_2": "COA-CREDENTIALING",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432200452",
"telephone_number": "614-442-2406",
"fax_number": "614-442-2410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S CLEVELAND AVE",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430818971",
"telephone_number": "614-898-6659",
"fax_number": "614-898-8631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILIAMS",
"first_name": "DONALD",
"middle_name": "G",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2014-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "COA.01784-NA",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0133448",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "430048082",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000206806",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUREAU WORKERS COMP",
"identifier": "430048082",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.