Individual provider Active NPI

Paul A Williams, CRNA

  • Certified Registered Nurse Anesthetist
  • Mansfield, OH
National Provider Identifier
1972854701
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN330648 Issued in OH
Practice address
799 Lexinton Ave
Mansfield, OH 44907-1906
Phone
(419) 756-5133
Fax
(419) 774-9707
NPI assigned
Sep 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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 RN330648 OH Primary

Addresses

Primary practice location

799 Lexinton Ave
Mansfield, OH 44907-1906

Mailing address

799 Lexinton Ave
Mansfield, OH 44907-1906
Phone (419) 756-5133

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121221000274 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 4587816574 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Cincinnati, IncGroup PAC ID 4789598509, 126 clinicians

Practice addresses (Care Compare)

272 Benedict Ave
Norwalk, OH 44857-2374
Phone (419) 668-8101

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN330648OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Mansfield, Inc CurrentSince Nov 5, 2012 Accepting new patients
Anesthesia Associates of Cincinnati, Inc Nurse Anesthetist, Certified Registered CurrentSince May 21, 2023 Accepting new patients
Clinical Colleagues Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 2, 2023 Accepting new patients
Medcentral Professional Association Inc. Past Accepting new patients

Locations

1400 W Main St
Bellevue, OH 44811
Phone (330) 563-0641

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

799 Lexington Ave
Mansfield, OH 44907
Phone (419) 526-8000

335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320

272 Benedict Ave
Norwalk, OH 44857
Phone (419) 668-1341

1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1972854701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 LEXINTON AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071906",
            "telephone_number": "419-756-5133",
            "fax_number": "419-774-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 LEXINTON AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071906",
            "telephone_number": "419-756-5133",
            "fax_number": "419-774-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "PAUL",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN330648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.