Active NPI
William Kendrick Spalding, CRNA
- Certified Registered Nurse Anesthetist
- Cameron, MO
National Provider Identifier
1770561680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 031915
- Practice address
- 1600 E Evergreen St
Cameron, MO 64429-2400 - Phone
- (816) 649-3348
- NPI assigned
- Jan 3, 2006
- 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 | 031915 | MO | Primary |
Addresses
Primary practice location
1600 E Evergreen St
Cameron, MO 64429-2400
Mailing address
1600 E Evergreen St
PO Box 557
Cameron, MO 64429-2400
Phone (816) 632-2101
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P0038238 | Other | MO | MEDICARE RAILROAD |
| 18085078 | Other | MO | BCBSKC PROVIDER NUMBER |
| 918061607 | Medicaid | MO |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031915 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamos Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Consultants in Gastroenterology, PC | Past | Accepting new patients | |
| Leavenworth Anesthesia PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesia & Pain Management | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Specialist
- Independence, MO
- NPI 1932189768
-
- Certified Registered Nurse Anesthetist
- Overland Park, KS
- NPI 1386747863
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Leavenworth, KS
- NPI 1639719180
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Leavenworth, KS
- NPI 1679555262
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291248000000",
"number": "1770561680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 E EVERGREEN ST",
"address_2": "PO BOX 557",
"city": "CAMERON",
"state": "MO",
"postal_code": "644292400",
"telephone_number": "816-632-2101",
"fax_number": "816-649-3383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 E EVERGREEN ST",
"city": "CAMERON",
"state": "MO",
"postal_code": "644292400",
"telephone_number": "816-649-3348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPALDING",
"first_name": "WILLIAM",
"middle_name": "KENDRICK",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-03",
"last_updated": "2010-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "031915",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P0038238",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSKC PROVIDER NUMBER",
"identifier": "18085078",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "918061607",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cameron, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.