Active NPI
Dewayne R Williams, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Marion, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- NA08622
- Practice address
- 1050 Delaware Ave
Marion, OH 43302-6416 - Phone
- (740) 383-7778
- Fax
- (740) 383-7942
- NPI assigned
- Jun 12, 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 | NA08622 | OH | Primary |
Addresses
Primary practice location
1050 Delaware Ave
Marion, OH 43302-6416
Mailing address
1050 Delaware Ave
Marion, OH 43302-6416
Phone (740) 383-7778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2638391 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, FL
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NA08622 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marion Area Physicians LLC | Current | Accepting new patients | |
| Space Coast Anesthesia Services LLC | Current | Accepting new patients | |
| Orange City Anesthesia Services LLC | Current | Accepting new patients | |
| Sarasota Ambulatory Surgery Center LTD | Current | Accepting new patients | |
| Sarasota Anesthesia Services LLC | Current | Accepting new patients | |
| Deperro Plastic Surgery, LLC | Past | Accepting new patients | |
| Midwest Physician Anesthesia Services, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesiology Consultants of Toledo, Inc | Past | Accepting new patients |
Locations
595 N Courtenay Pkwy
Ste 103
Merritt Island, FL 32953
Phone (321) 890-1800
975 Town Center Dr
Ste 100
Orange City, FL 32763
Phone (386) 456-5247
2821 Proctor Rd
Sarasota, FL 34231
Phone (941) 870-1872
Dept L3652
Columbus, OH 43260
921 E Franklin St
Kenton, OH 43326
Phone (419) 673-0761
1050 Delaware Ave
Marion, OH 43302
Phone (740) 383-7038
1040 Delaware Ave
Marion, OH 43302
Phone (330) 256-9874
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Marion, OH
- NPI 1619230802
-
- Anesthesiology Physician
- Orange City, FL
- NPI 1972882314
-
- Anesthesiology Physician
- Sarasota, FL
- NPI 1689857393
-
- Anesthesiology Physician
- Merritt Island, FL
- NPI 1942441753
-
- Ambulatory Surgical Clinic/Center
- Sarasota, FL
- NPI 1740230523
-
- Anesthesiology Physician
- Toledo, OH
- NPI 1366482119
-
- Plastic Surgery Physician
- Columbus, OH
- NPI 1134573496
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1598703951
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412640000000",
"number": "1790727915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 DELAWARE AVE",
"city": "MARION",
"state": "OH",
"postal_code": "433026416",
"telephone_number": "740-383-7778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 DELAWARE AVE",
"city": "MARION",
"state": "OH",
"postal_code": "433026416",
"telephone_number": "740-383-7778",
"fax_number": "740-383-7942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "DEWAYNE",
"middle_name": "R",
"credential": "C.R.N.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2014-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "NA08622",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2638391",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.