Active NPI
William Matthew Hargrove, CRNA
- Certified Registered Nurse Anesthetist
- Columbia, TN
National Provider Identifier
1487903985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 16760
- Practice address
- 1224 Trotwood Ave
Columbia, TN 38401 - Phone
- (866) 612-5074
- NPI assigned
- Aug 30, 2012
- 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 | 16760 | TN | Primary |
Addresses
Primary practice location
1224 Trotwood Ave
Columbia, TN 38401
Mailing address
PO Box 235022
Montgomery, AL 36123
Phone (866) 612-5074
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4230 Harding Pike
Suite 435
Nashville, TN 37205-4900
Phone (615) 385-3704
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resource Anesthesiology Associates of TN PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Maury Regional Hospital | Past | Accepting new patients |
Locations
450 Mamaroneck Ave
Ste 201
Harrison, NY 10528
Phone (877) 476-6642
1265 Union Ave
Ste 201
Memphis, TN 38104
Phone (901) 516-7000
Organizations & group practices 3
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.
-
- Critical Care Medicine (Anesthesiology) Physician
- Nashville, TN
- NPI 1912953381
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1316724073
Nurse Anesthetist, Certified Registered
-
- Clinic/Center
- Hohenwald, TN
- NPI 1023038122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677110400000",
"number": "1487903985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 235022",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "36123",
"telephone_number": "866-612-5074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 TROTWOOD AVE",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "38401",
"telephone_number": "866-612-5074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARGROVE",
"first_name": "WILLIAM",
"middle_name": "MATTHEW",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-30",
"last_updated": "2023-02-23",
"certification_date": "2023-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "16760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.