Active NPI
William Hillman
- Certified Registered Nurse Anesthetist
- Pascagoula, MS
National Provider Identifier
1508069808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R609188
- Practice address
- 2406 Catalpa Ave
Pascagoula, MS 39567-1813 - Phone
- (228) 696-0818
- Fax
- (678) 553-8152
- NPI assigned
- Jun 6, 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 | R609188 | MS | Primary |
Addresses
Primary practice location
2406 Catalpa Ave
Pascagoula, MS 39567-1813
Mailing address
PO Box 3488
Dept 05-113
Tupelo, MS 38803-3488
Phone (678) 553-8150
Other practice location 1
3109 Bienville Blvd
Ocean Springs, MS 39564-4361
Phone (228) 818-1100
Other practice location 2
6300 E Lake Blvd Ste 102
Vancleave, MS 39565-6771
Phone (228) 447-4630
Other practice location 3
1720B Medical Park Dr
Biloxi, MS 39532-2131
Phone (228) 702-2000
Other practice location 4
3301 Bienville Blvd
Ocean Springs, MS 39564-4318
Phone (228) 872-8854
Other practice location 5
2809 Denny Ave
Pascagoula, MS 39581-5301
Phone (228) 809-5000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 573519YV48 | Other | MS | MEDICARE |
| 00110677 | Medicaid | MS | |
| 609188 | Other | MS | STATE LICENSE |
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
- Credentials
- Certified Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1508069808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3488",
"address_2": "DEPT 05-113",
"city": "TUPELO",
"state": "MS",
"postal_code": "388033488",
"telephone_number": "678-553-8150",
"fax_number": "678-553-8152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2406 CATALPA AVE",
"city": "PASCAGOULA",
"state": "MS",
"postal_code": "395671813",
"telephone_number": "228-696-0818",
"fax_number": "678-553-8152"
}
],
"practiceLocations": [
{
"address_1": "3109 Bienville Blvd",
"address_purpose": "LOCATION",
"city": "Ocean Springs",
"state": "MS",
"postal_code": "395644361",
"country_code": "US",
"telephone_number": "228-818-1100",
"fax_number": "678-553-8152",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6300 E Lake Blvd Ste 102",
"address_purpose": "LOCATION",
"city": "Vancleave",
"state": "MS",
"postal_code": "395656771",
"country_code": "US",
"telephone_number": "228-447-4630",
"fax_number": "678-553-8152",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1720B Medical Park Dr",
"address_purpose": "LOCATION",
"city": "Biloxi",
"state": "MS",
"postal_code": "395322131",
"country_code": "US",
"telephone_number": "228-702-2000",
"fax_number": "678-553-8152",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3301 Bienville Blvd",
"address_purpose": "LOCATION",
"city": "Ocean Springs",
"state": "MS",
"postal_code": "395644318",
"country_code": "US",
"telephone_number": "228-872-8854",
"fax_number": "678-553-8152",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2809 Denny Ave",
"address_purpose": "LOCATION",
"city": "Pascagoula",
"state": "MS",
"postal_code": "395815301",
"country_code": "US",
"telephone_number": "228-809-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HILLMAN",
"first_name": "WILLIAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-06",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "R609188",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "573519YV48",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00110677",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "609188",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pascagoula, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.