Individual provider Active NPI

William Hillman

  • Certified Registered Nurse Anesthetist
  • Pascagoula, MS
National Provider Identifier
1508069808
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R609188 Issued in MS
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

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
573519YV48OtherMSMEDICARE
00110677MedicaidMS
609188OtherMSSTATE 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.

Verify at the official NPI Registry.