Active NPI
William S Cantwell, MD
- Critical Care Medicine (Internal Medicine) Physician
- Alexandria, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- MD.201136
- Practice address
- 211 4TH St
Emcare
Alexandria, LA 71301-8421 - Phone
- (727) 533-8707
- Fax
- (727) 507-3618
- NPI assigned
- May 29, 2007
- Last updated
- Mar 26, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD.201136 | LA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MD.201136 | LA | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | N3533 | TX |
Addresses
Primary practice location
211 4TH St
Emcare
Alexandria, LA 71301-8421
Mailing address
18167 US Highway 19 N
Suite 650
Clearwater, FL 33764-3528
Phone (727) 533-8707
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 181274001 | Medicaid | AR | |
| 09281 | Medicaid | LA | |
| 208430302 | Medicaid | TX | |
| TIN PLUS 042 | Other | TX | TRICARE |
| 8V3851 | Other | TX | BCBS |
| 1092819 | Medicaid | LA | |
| 208430301 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Louisiana State University School of Medicine in Shreveport, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 593-8441
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.201136 | LA | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tyler Physician Services, PLLC | Critical Care Medicine | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Internal Medicine | Current | Accepting new patients |
| Northeast Texas Intensivists, PLLC | Internal Medicine | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| WK Bossier Pulmonary & Critical Care Clinic | Critical Care Medicine | Past | Accepting new patients |
| Hynson Bayou Inpatient Services LLC | Past | Accepting new patients | |
| Hospitalist Medicine Physicians of Rapides Parish, LLC | Internal Medicine | Past | Accepting new patients |
| Mother Frances Hospital Regional Health Care Center | Past | Accepting new patients | |
| WKB Family Medicine Associates | Past | Accepting new patients |
Locations
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138
3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000
700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
800 E Dawson St
Fl 4
Tyler, TX 75701
Phone (903) 531-4080
Organizations & group practices 10
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Longview, TX
- NPI 1497536676
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
Internal Medicine
-
- Critical Care Medicine (Internal Medicine) Physician
- Tyler, TX
- NPI 1225898034
-
dba University Medical Center New Orleans
- Family Medicine Physician
- New Orleans, LA
- NPI 1083655567
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Internal Medicine Physician
- Alexandria, LA
- NPI 1275573628
-
- Hospitalist Physician
- Alexandria, LA
- NPI 1215204748
-
- Pulmonary Disease Physician
- Bossier City, LA
- NPI 1215149331
Critical Care Medicine
-
- Family Medicine Physician
- Bossier City, LA
- NPI 1972746097
-
dba Christus Mother Frances Hospital Tyler
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Christus Mother Frances Hospital Tyler
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364256000000",
"number": "1851592075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18167 US HIGHWAY 19 N",
"address_2": "SUITE 650",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337643528",
"telephone_number": "727-533-8707",
"fax_number": "727-507-3618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 4TH ST",
"address_2": "EMCARE",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713018421",
"telephone_number": "727-533-8707",
"fax_number": "727-507-3618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTWELL",
"first_name": "WILLIAM",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-29",
"last_updated": "2013-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "MD.201136",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "LA",
"license": "MD.201136",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "TX",
"license": "N3533",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "181274001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09281",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208430302",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "TIN PLUS 042",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8V3851",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1092819",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208430301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, LA
- John Joseph Campo Jr., D.D.S.
- Heidi Michele Candler, LCSW
- Gabrielle Nicole Cangelosi-Carpenter, LPC
- Sakena Cannon
- Vernon William Cantwell, MD
- Sarah Capps
- Mark A Carbo, PA-C
- Cardiac Cath Lab of Alexandria LP (Alexandria Heart & Vascular Center)
- Cardiology Associates of Central la
- Cardiovascular Specialties of Louisiana LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.