Active NPI
William David Hamilton, CRNA
- Certified Registered Nurse Anesthetist
- Jackson, WY
National Provider Identifier
1316979057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 22457.339
- Practice address
- 625 East Broadway
Jackson, WY 83001 - Phone
- (307) 739-7218
- NPI assigned
- Jul 6, 2006
- Last updated
- Jul 8, 2007
- 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 | 22457.339 | WY | Primary |
Addresses
Primary practice location
625 East Broadway
Jackson, WY 83001
Mailing address
PO Box 4125
Jackson, WY 83001-4125
Phone (307) 699-2200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Wayne State University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 S Clark St
Butte, MT 59701-2328
Phone (406) 723-2484
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22457.339 | WY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Butte Pain and Anesthesia Associates, PLLC | Current | Accepting new patients | |
| McLaren Macomb | Past | Accepting new patients | |
| Grand Anesthesiology Services PC | Past | Accepting new patients |
Locations
400 S Clark St
Butte, MT 59701
Phone (406) 495-7260
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Butte, MT
- NPI 1205869468
-
- Anesthesiology Physician
- Butte, MT
- NPI 1053092189
-
- Anesthesiology Physician
- Jackson, WY
- NPI 1477567246
-
- Internal Medicine Physician
- Mount Clemens, MI
- NPI 1396014601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316979057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4125",
"city": "JACKSON",
"state": "WY",
"postal_code": "830014125",
"telephone_number": "307-699-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 EAST BROADWAY",
"city": "JACKSON",
"state": "WY",
"postal_code": "83001",
"telephone_number": "307-739-7218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "WILLIAM",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WY",
"license": "22457.339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.