Individual provider Active NPI

Earl Javis Williams, CRNA

  • Certified Registered Nurse Anesthetist
  • Knoxville, IA
National Provider Identifier
1851363238
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
54575 Issued in KS
Practice address
1002 S Lincoln St
Knoxville, IA 50138-3121
Phone
(641) 842-1441
NPI assigned
Feb 1, 2006
Last updated
Feb 25, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 54575 KS Primary

Addresses

Primary practice location

1002 S Lincoln St
Knoxville, IA 50138-3121

Mailing address

PO Box 388
Newton, KS 67114-0388
Phone (316) 281-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050614000778 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870537509
I20141211001124 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870537509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Health Specialists LLCGroup PAC ID 9739494832, 69 clinicians

Practice addresses (Care Compare)

3800 S Whitney Ave
100 The Endoscopy Center
Independence, MO 64055-6739
Phone (816) 478-4887

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54575KSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Health Specialists, LLC CurrentSince Dec 12, 2022 Accepting new patients
Midwest Anesthesia Associates, PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Mercy Kansas Communities Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Westglen Endoscopy Center LLC Past Accepting new patients
Leavenworth Anesthesia PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Cadwell Therapuetics, Inc. Past Accepting new patients

Locations

17501 E US Highway 40
Ste 213A
Independence, MO 64055
Phone (816) 478-7887

3800 S Whitney Ave
Ste 100
Independence, MO 64055

5330 N Oak Trfy
Ste 100
Kansas City, MO 64118

4510 Frederick Ave
Saint Joseph, MO 64506
Phone (816) 233-1629

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393286400000",
    "number": "1851363238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671140388",
            "telephone_number": "316-281-3700",
            "fax_number": "316-282-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 S LINCOLN ST",
            "city": "KNOXVILLE",
            "state": "IA",
            "postal_code": "501383121",
            "telephone_number": "641-842-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "EARL",
        "middle_name": "JAVIS",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2014-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "54575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.