Active NPI
William Stewart Sedgwick
- Certified Registered Nurse Anesthetist
- Tripler Army Medical Center, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN238455
- Practice address
- 1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001 - Phone
- (808) 433-7699
- NPI assigned
- Dec 9, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 672368 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | RN238455 | GA | Primary |
Addresses
Primary practice location
1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Mailing address
488 Cedric Way
Evans, GA 30809-6060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1350 Walton Way
Augusta, GA 30901-2612
Phone (478) 746-7577
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN238455 | GA | MD | Certified Registered Nurse Anesthetist |
| 672368 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastroenterology Consultants of Augusta, PC | Current | Accepting new patients | |
| Gastroenterology Consultants of Augusta, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Piedmont Anesthesia LLC | Current | Accepting new patients | |
| Anesthesia and Pain Medicine | Past | Accepting new patients |
Locations
1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011
393 N Belair Rd
Evans, GA 30809
Phone (706) 854-8934
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
Interoperability endpoints
- https://api.platform.athenahealth.com/15547/brand/1/csg/1/fhir/r4
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.
-
- Anesthesiology Physician
- Stockbridge, GA
- NPI 1700474244
-
- Gastroenterology Physician
- Evans, GA
- NPI 1508089137
-
- Anesthesiology Physician
- Evans, GA
- NPI 1255974226
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Augusta, GA
- NPI 1265482582
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1588665566
-
- General Acute Care Hospital
- Thomson, GA
- NPI 1982600540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571270400000",
"number": "1992034649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "488 CEDRIC WAY",
"city": "EVANS",
"state": "GA",
"postal_code": "308096060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 JARRETT WHITE RD",
"city": "TRIPLER ARMY MEDICAL CENTER",
"state": "HI",
"postal_code": "968595001",
"telephone_number": "808-433-7699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEDGWICK",
"first_name": "WILLIAM",
"middle_name": "STEWART",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-09",
"last_updated": "2019-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "672368",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN238455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tripler Army Medical Center, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.