Active NPI
William Brian Dumas, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Port Huron, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704252609
- Practice address
- 1221 Pine Grove Ave
Port Huron, MI 48060-3511 - Phone
- (810) 987-5000
- Fax
- (810) 985-2633
- NPI assigned
- May 5, 2006
- 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 | 4704252609 | MI | Primary |
Addresses
Primary practice location
1221 Pine Grove Ave
Port Huron, MI 48060-3511
Mailing address
1221 Pine Grove Ave
Port Huron, MI 48060-3511
Phone (810) 987-5000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8051830 | Medicaid | NC | |
| 4704252609 | Other | MI | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2601 Lake Dr
Suite 201
Raleigh, NC 27607-6689
Phone (919) 783-4888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704252609 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williamston Clinic Corp | Current | Accepting new patients | |
| Raleigh Medical Group, PA | Current | Accepting new patients | |
| Anesthesia Care Services, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mercy Tyler Hospital | Past | Accepting new patients | |
| Lenoir Memorial Hospital, Incorporated | Past | Accepting new patients | |
| Mercy Tyler Health Systems | Past | Accepting new patients | |
| Lenoir Memorial Hospital, Incorporated | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
2730 Georgia Rd
Franklin, NC 28734
Phone (828) 349-3636
2705 Medical Office Pl
Goldsboro, NC 27534
Phone (919) 580-9111
3735 Admiral Dr
Ste 111
High Point, NC 27265
Phone (336) 821-4180
2601 Lake Dr
Ste 201
Raleigh, NC 27607
Phone (919) 783-4888
3521 Haworth Dr
Raleigh, NC 27609
Phone (919) 782-1806
104 Medical Dr
Williamston, NC 27892
Phone (252) 809-6300
310 S McCaskey Rd
Williamston, NC 27892
Phone (252) 809-6133
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.
-
- Internal Medicine Physician
- Raleigh, NC
- NPI 1104962315
-
- Certified Registered Nurse Anesthetist
- Forest, VA
- NPI 1609833474
NC, Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Williamston, NC
- NPI 1811990443
-
dba Certified Registered Nurse Anesthetist
- Certified Registered Nurse Anesthetist
- Kinston, NC
- NPI 1679517296
Nurse Anesthetist, Certified Registered
-
- Surgery Physician
- Tunkhannock, PA
- NPI 1881616985
-
- General Acute Care Hospital
- Tunkhannock, PA
- NPI 1386667533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201824000000",
"number": "1235187592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 PINE GROVE AVE",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480603511",
"telephone_number": "810-987-5000",
"fax_number": "810-985-2633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 PINE GROVE AVE",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480603511",
"telephone_number": "810-987-5000",
"fax_number": "810-985-2633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUMAS",
"first_name": "WILLIAM",
"middle_name": "BRIAN",
"credential": "C.R.N.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2008-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704252609",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8051830",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "4704252609",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Huron, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.