Active NPI
William Christian Walton, CRNA
- Certified Registered Nurse Anesthetist
- Winston Salem, NC
National Provider Identifier
1497730543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 45120
- Practice address
- Wfubmc
Medical Center Boulevard/Ambulatory Anesthesia
Winston Salem, NC 27157-0001 - Phone
- (336) 713-2555
- NPI assigned
- Dec 13, 2005
- 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 | 45120 | NC | Primary |
Addresses
Primary practice location
Wfubmc
Medical Center Boulevard/Ambulatory Anesthesia
Winston Salem, NC 27157-0001
Mailing address
415 Fairhaven Rd
Lewisville, NC 27023-7506
Phone (336) 945-3397
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8050237 | Medicaid | NC | |
| 100766 | Other | NC | NURSING LICENSE CERTIFICA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45120 | NC | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199836800000",
"number": "1497730543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 FAIRHAVEN RD",
"city": "LEWISVILLE",
"state": "NC",
"postal_code": "270237506",
"telephone_number": "336-945-3397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WFUBMC",
"address_2": "MEDICAL CENTER BOULEVARD/AMBULATORY ANESTHESIA",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271570001",
"telephone_number": "336-713-2555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTON",
"first_name": "WILLIAM",
"middle_name": "CHRISTIAN",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-13",
"last_updated": "2008-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "45120",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8050237",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSING LICENSE CERTIFICA",
"identifier": "100766",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.