NPIMap

Individual provider Active NPI

William B Cleveland III, MD

  • Anesthesiology Physician
  • Canal Fulton, OH
National Provider Identifier
1811919368
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
35-048523 Issued in OH
Practice address
10510 Lafayette Dr NW
Canal Fulton, OH 44614-8757
Phone
(330) 408-7159
Fax
(330) 854-5337
NPI assigned
Jul 24, 2006
Last updated
Dec 4, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35-048523 OH Primary

Addresses

Primary practice location

10510 Lafayette Dr NW
Canal Fulton, OH 44614-8757

Mailing address

10510 Lafayette Dr NW
Canal Fulton, OH 44614-8757
Phone (330) 408-7159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, HI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050125000546 OH Practitioner - Anesthesiology 1355391673 Reassigns benefits to 3 organizations
I20191212000786 HI Practitioner - Anesthesiology 1355391673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Anesthesia Providers, LLCGroup PAC ID 0042558066, 54 clinicians

Practice addresses (Care Compare)

2907 Bell St
Zanesville, OH 43701-1720
Phone (740) 455-6300

2951 Maple Ave
Zanesville, OH 43701-1406
Phone (740) 454-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-048523OHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Island Professional Anesthesia LLC Anesthesiology CurrentSince Jun 1, 2020 Accepting new patients
Ohio Hospital-Based Physician Corporation CurrentSince Mar 1, 2021 Accepting new patients
Genesis Anesthesia Providers, LLC Anesthesiology CurrentSince Feb 1, 2019 Accepting new patients
Aultman Deuble Heart & Vascular Hospital, LLC CurrentSince Mar 1, 2021 Accepting new patients
The Anesthesia Medical Group Inc Anesthesiology CurrentSince Oct 1, 2019 Accepting new patients
Ohio Hospital-Based Physicians Corporation CurrentSince Mar 1, 2021 Accepting new patients
University Anesthesiologists, Inc. Anesthesiology Past Accepting new patients
Clinic Physician Services Co. LLC Anesthesiology Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Lake Emergency Services Inc Past Accepting new patients
Anesthesia Associates, PLL Past Accepting new patients
Memorial Anesthesia, LTD. Anesthesiology Past Accepting new patients

Locations

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

2600 6th St SW
Ste A2800
Canton, OH 44710

2051 Wales Ave NW
Massillon, OH 44646
Phone (330) 363-7462

6100 Whipple Ave NW
North Canton, OH 44720
Phone (330) 305-6999

832 S Main St
Orrville, OH 44667
Phone (330) 456-2695

2907 Bell St
Zanesville, OH 43701
Phone (740) 455-6300

2951 Maple Ave
Zanesville, OH 43701
Phone (740) 454-4000

Organizations & group practices 12

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 4

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259884800000",
    "number": "1811919368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10510 LAFAYETTE DR NW",
            "city": "CANAL FULTON",
            "state": "OH",
            "postal_code": "446148757",
            "telephone_number": "330-408-7159",
            "fax_number": "330-854-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10510 LAFAYETTE DR NW",
            "city": "CANAL FULTON",
            "state": "OH",
            "postal_code": "446148757",
            "telephone_number": "330-408-7159",
            "fax_number": "330-854-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVELAND",
        "first_name": "WILLIAM",
        "middle_name": "B",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2009-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35-048523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canal Fulton, OH

Sources for this page

Verify at the official NPI Registry.