Charles E Williams, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Baton Rouge, LA
NPI 1386811297 · NPPES record last updated Jul 3, 2018
Key facts
- NPI
- 1386811297
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- RN119158 AP05429 (LA)
- Practice address
- 8212 Summa Ave
Baton Rouge, LA 70809-3421 - Phone
- (225) 769-4403
- Fax
- (225) 769-3842
- NPI assigned
- May 9, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anesthesiology Group Associates Inc
Practice addresses (Care Compare)
5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone (225) 765-6565
Hospital & facility affiliations
- Our Lady of the Lake Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091124000446 | LA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7810036217 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN119158 AP05429 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiology Group Associates Inc | Current |
Accepting new patients |
Locations
7777 Hennessy Blvd
Ste 301
Baton Rouge, LA 70808
Phone (225) 214-6436
11414 Lake Sherwood Ave N
Baton Rouge, LA 70816
Phone (225) 532-4058
8212 Summa Ave
Baton Rouge, LA 70809
Phone (225) 769-4403
5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN119158 AP05429 | LA | Yes |
Addresses
Primary practice location
8212 Summa Ave
Baton Rouge, LA 70809-3421
Mailing address
7777 Hennessy Blvd
Ste 301
Baton Rouge, LA 70808-0319
Phone (225) 769-4403
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN119158 AP05429 | Other | LA | LA STATE LIC |
Other providers in Baton Rouge, LA
- Cameron Parker Williams
- Camille Comeaux Williams
- Carl Hilton Williams
- Carl M Williams
- Carlus Williams
- Charles Edward Williams
- Cierra Williams
- Cierra Williams
- Clarence Williams
- Clintina Williams
All providers in Baton Rouge, LA · Certified Registered Nurse Anesthetist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.