Active NPI
William Grant Carruthers, CRNA
- Certified Registered Nurse Anesthetist
- Indianapolis, IN
National Provider Identifier
1831141795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28182196A
- Practice address
- 7150 Clearvista Dr
North/Family Rooms
Indianapolis, IN 46256-1695 - Phone
- (317) 621-5890
- Fax
- (317) 355-2205
- NPI assigned
- May 17, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 041346090 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | 28182196A | IN | Primary |
Addresses
Primary practice location
7150 Clearvista Dr
North/Family Rooms
Indianapolis, IN 46256-1695
Mailing address
PO Box 19751
Indianapolis, IN 46219-0751
Phone (317) 355-5837
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041346090 | IL | MD | Certified Registered Nurse Anesthetist |
| 28182196A | IN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marion Hospital Corporation | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Brigham Anesthesia South LLC | Past | Accepting new patients | |
| Amsol Anesthetists of Illinois, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Certified Registered Nurse Anesthetist
- Effingham, IL
- NPI 1831257682
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Carbondale, IL
- NPI 1699769232
-
- Anesthesiology Physician
- Marion, IL
- NPI 1356327282
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314921600000",
"number": "1831141795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19751",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462190751",
"telephone_number": "317-355-5837",
"fax_number": "317-904-3929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7150 CLEARVISTA DR",
"address_2": "NORTH/FAMILY ROOMS",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462561695",
"telephone_number": "317-621-5890",
"fax_number": "317-355-2205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRUTHERS",
"first_name": "WILLIAM",
"middle_name": "GRANT",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2011-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "041346090",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28182196A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.