Active NPI
Earl Javis Williams, CRNA
- Certified Registered Nurse Anesthetist
- Knoxville, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 54575
- Practice address
- 1002 S Lincoln St
Knoxville, IA 50138-3121 - Phone
- (641) 842-1441
- NPI assigned
- Feb 1, 2006
- Last updated
- Feb 25, 2014
- 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 | 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, MO
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 54575 | KS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Digestive Health Specialists, LLC | Current | 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.
-
- Gastroenterology Physician
- Independence, MO
- NPI 1801286844
-
- Customized Equipment (DME)
- Independence, MO
- NPI 1821377011
-
- Certified Registered Nurse Anesthetist
- Leavenworth, KS
- NPI 1679555262
Nurse Anesthetist, Certified Registered
-
- Emergency Care Clinic/Center
- Independence, KS
- NPI 1417064957
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Shawnee Mission, KS
- NPI 1336192392
Nurse Anesthetist, Certified Registered
-
dba Westglen Endoscopy Center
- Ambulatory Surgical Clinic/Center
- Shawnee, KS
- NPI 1588644520
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.