Individual provider Active NPI

William John Ed MC Cord Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Boaz, AL
National Provider Identifier
1740457415
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-079713 Issued in AL
Practice address
72 Brian CT
Boaz, AL 35957-5897
Phone
(256) 593-4717
NPI assigned
May 13, 2008
Last updated
Jan 15, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1-079713 AL Primary
Registered Nurse 163W00000X 1-079713 AL

Addresses

Primary practice location

72 Brian CT
Boaz, AL 35957-5897

Mailing address

72 Brian CT
Boaz, AL 35957-5897
Phone (256) 593-4717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080707000228 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4981776044 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia AssociatesGroup PAC ID 3476570870, 60 clinicians

Practice addresses (Care Compare)

Gadsden, AL 35901
Phone (256) 546-5281

1 Commerce Square
Gadsden, AL 35901-5252

1007 Goodyear Ave
Gadsden, AL 35903-1195
Phone (256) 546-5281

301 E 18TH St
Anniston, AL 36207-3952
Phone (256) 546-5281

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-079713ALMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Physynergy, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2013 Accepting new patients
Physynergy, LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Physynergy LLC CurrentSince Mar 1, 2013 Accepting new patients
Alabama Colon & Gastro, PC CurrentSince Apr 1, 2025 Accepting new patients
Anesthesia Associates CurrentSince Sep 21, 2025 Accepting new patients
Alabama Anesthesia of Huntsville LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Physynergy, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1 Commerce Sq
Gadsden, AL 35901

8000 AL Highway 69
Guntersville, AL 35976
Phone (256) 571-8000

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 880-4177

1105 Eagletree Ln SW
Huntsville, AL 35801
Phone (256) 261-2826

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EGJDAD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1740457415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 BRIAN CT",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575897",
            "telephone_number": "256-593-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 BRIAN CT",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575897",
            "telephone_number": "256-593-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MC CORD",
        "first_name": "WILLIAM JOHN",
        "middle_name": "ED",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-13",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-079713",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-079713",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boaz, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.