Bill Larue Spencer, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

23309 Issued in OK

Practice address

18626 County Road 1550
Ada, OK 74820-3185

Phone

(580) 436-0187

NPI assigned

Dec 8, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Certified Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375056000000",
    "number": "1588649941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18626 COUNTY ROAD 1550",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748203185",
            "telephone_number": "580-436-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18626 COUNTY ROAD 1550",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748203185",
            "telephone_number": "580-436-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "BILL",
        "middle_name": "LARUE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2013-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "23309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Oklahoma Psychological Associates Inc.
• Southern Oklahoma Treatment Serices, Inc.
• Southern Oklahoma Urology, Inc
• Southwest Medical Specialist
• Sovereign Family Clinic, LLC (Sovereign Family Practice Clinic)
• Elyse Elizabeth Bowen Splichal, DC
• Linda Louise Spooner, APRN
• Krystal Brooke Springfield, RN, CDCES
• Kelly Spychalski, NP
• Stacy G Presley OD PLLC (Advanced Eye Care Associates)

• Certified Registered Nurse Anesthetist in Ada, OK
• Providers in Ada, OK by specialty
• Certified Registered Nurse Anesthetist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; 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.