Individual provider Active NPI

William Gordon Walker, CRNA

  • Certified Registered Nurse Anesthetist
  • Northport, AL
National Provider Identifier
1902830417
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-045352 Issued in AL
Practice address
2700 Hospital Dr
Northport, AL 35476-3360
Phone
(205) 759-7352
Fax
(205) 759-6397
NPI assigned
Jul 10, 2006
Last updated
Nov 4, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1-045352 AL Primary
Registered Nurse 163W00000X 1-045352 AL

Addresses

Primary practice location

2700 Hospital Dr
Northport, AL 35476-3360

Mailing address

809 University Blvd E
Tuscaloosa, AL 35401-2029
Phone (205) 759-7352

Other identifiers 1

IdentifierTypeStateIssuer
040541OtherALAMERICAN ASSOCIATION OF NURSE ANESTHETISTS (CERTIFICATION)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050124000496 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507816071 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northport - CrnaGroup PAC ID 3971791286, 27 clinicians

Practice addresses (Care Compare)

2700 Hospital Dr
Northport, AL 35476-3360
Phone (205) 333-4500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-045352ALMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Capstone Anesthesia Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 2, 2014 Accepting new patients
Fayette Medical Center-Crna Nurse Anesthetist, Certified Registered CurrentSince Aug 28, 2017 Accepting new patients
Northport - Crna Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2011 Accepting new patients
Tuscaloosa Anesthesia Associates LLC CurrentSince Oct 28, 2023 Accepting new patients
DCH Medical Center Crna Nurse Anesthetist, Certified Registered CurrentSince Feb 20, 2017 Accepting new patients
Vision Correction Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 16, 2004 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2017 Accepting new patients
Vision Correction Center, LLC Current Accepting new patients
Southern Perioperative Services P C CurrentSince Apr 19, 2017 Accepting new patients

Locations

975 9th Ave SW
Bessemer, AL 35022
Phone (205) 481-8700

1600 Carraway Blvd
Birmingham, AL 35234
Phone (205) 502-6000

1653 Temple Ave N
Fayette, AL 35555
Phone (205) 759-7063

2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500

604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111

100 Rice Mine Road Loop
Ste 104
Tuscaloosa, AL 35406
Phone (205) 342-2552

1400 McFarland Blvd N
Tuscaloosa, AL 35406
Phone (205) 345-5500

1406 McFarland Blvd N
Ste 2B
Tuscaloosa, AL 35406
Phone (205) 248-0095

301 Rice Mine Rd NE
Tuscaloosa, AL 35406
Phone (205) 750-0022

701 University Blvd E
Ste 400
Tuscaloosa, AL 35401
Phone (205) 752-0694

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

Organizations & group practices 9

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 3

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288828800000",
    "number": "1902830417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 UNIVERSITY BLVD E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012029",
            "telephone_number": "205-759-7352",
            "fax_number": "205-759-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 HOSPITAL DR",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354763360",
            "telephone_number": "205-759-7352",
            "fax_number": "205-759-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "WILLIAM",
        "middle_name": "GORDON",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2010-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-045352",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-045352",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ASSOCIATION OF NURSE ANESTHETISTS (CERTIFICATION)",
            "identifier": "040541",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.