Dale P Hotard III, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

901422 Issued in MS

Practice address

103 Fairview Dr
Vicksburg, MS 39180-8934

Phone

(314) 258-1988

NPI assigned

Feb 1, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS, KY, MI3 enrollments

Enrollment records 3

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Consultants PAGroup PAC ID 4486637881, 102 clinicians

Spectrum Health Primary Care PartnersGroup PAC ID 4587568647, 2,283 clinicians

University of Louisville Physicians IncGroup PAC ID 3476725599, 1,438 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040
• Merit Health River Region Hospital, Vicksburg, MS, CCN 250031
• Corewell Health Big Rapids Hospital Hospital, Big Rapids, MI, CCN 230093
• University of Louisville Hospital Hospital, Louisville, KY, CCN 180141

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Anesthesia Consultants PA

  • Anesthesiology Physician
  • Jackson, MS
  • NPI 1750300836

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• University of Louisville Physicians, Inc.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1366722316
  Medicare reassignment Care Compare group NPD
• Spectrum Health Primary Care Partners

  • Internal Medicine Physician
  • Grand Rapids, MI
  • NPI 1235188673
  Medicare reassignment Care Compare group
• Northstar Anesthesia of Mississippi, LLC

  • Anesthesiology Physician
  • Natchez, MS
  • NPI 1124415567

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• University of Louisville Physicians

  • Pediatric Sleep Medicine Physician
  • Louisville, KY
  • NPI 1639435688
  NPD
• University of Louisville Physicians, Inc.

  • Diagnostic Radiology Physician
  • Louisville, KY
  • NPI 1316294127
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Vicksburg Healthcare LLC

  • General Acute Care Hospital
  • Vicksburg, MS
  • NPI 1215981303
  Care Compare affiliation
• Mecosta County Medical Center

  • General Acute Care Hospital
  • Big Rapids, MI
  • NPI 1316945991
  Care Compare affiliation
• University Medical Center, Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1861554438
  Care Compare affiliation
• Uofl Health-Louisville Inc

  • Rehabilitation Hospital Unit
  • Louisville, KY
  • NPI 1013784859
  Care Compare affiliation
• Uofl Health-Louisville Inc

  • Rehabilitation Hospital Unit
  • Louisville, KY
  • NPI 1033752704
  Care Compare affiliation
• Uofl Health-Louisville Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1093341497
  Care Compare affiliation
• Uofl Health-Louisville Inc

  • Rehabilitation Hospital Unit
  • Louisville, KY
  • NPI 1104469873
  Care Compare affiliation
• Uofl Health-Louisville Inc

  • Rehabilitation Hospital Unit
  • Louisville, KY
  • NPI 1114591039
  Care Compare affiliation
• Uofl Health-Louisville Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1124654512
  Care Compare affiliation
• Uofl Health-Louisville Inc

  • Rehabilitation Hospital Unit
  • Louisville, KY
  • NPI 1124661897
  Care Compare affiliation
• Uofl Health-Louisville Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1144856543
  Care Compare affiliation
• Uofl Health-Louisville Inc

  • Rehabilitation Hospital Unit
  • Louisville, KY
  • NPI 1376310110
  Care Compare affiliation

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1609314400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 WOODBINE DR",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 FAIRVIEW DR",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391808934",
            "telephone_number": "314-258-1988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4510 Lakeland Dr",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392329583",
            "country_code": "US",
            "telephone_number": "601-944-1717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "970 Lakeland Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164635",
            "country_code": "US",
            "telephone_number": "601-984-8800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Stone Creek Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392328210",
            "country_code": "US",
            "telephone_number": "601-939-5532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 S Jackson St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021675",
            "country_code": "US",
            "telephone_number": "502-852-5851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1903C Mission 66",
            "address_purpose": "LOCATION",
            "city": "Vicksburg",
            "state": "MS",
            "postal_code": "391803711",
            "country_code": "US",
            "telephone_number": "601-994-5941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOTARD",
        "first_name": "DALE",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-01",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "4045094",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "901422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Hood
• Deborah A Hoover, DNP,FNP-BC
• Emily Horton
• Christina R Hossley, NP
• Ashton M Hotard, SLP
• Houseal Enterprises
• Thomas Houseal, DC
• Housecall Practitioners Inc.
• Candace Houston, CPNP-PC
• Whitney Denise Houston

• Certified Registered Nurse Anesthetist in Vicksburg, MS
• Providers in Vicksburg, MS by specialty
• Certified Registered Nurse Anesthetist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.

Verify at the official NPI Registry.