MR. WILLIAM G CHISHOLM JR. (NPI# 1396775938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396775938 |
Entity Type | Individual |
Full Name | MR. WILLIAM G CHISHOLM JR. |
Credential | CRNA |
Practice Address |
174 1st Ave N Ilwaco WA 98624-9137 |
Mailing Address |
91 E Tamarack Ln Shelton WA 98584-9402 |
Practice Telephone | 3606423181 |
Mailing Telephone | 3604275747 |
Enumeration Date | 2006-07-03 |
Last Update Date | 2016-02-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 367500000X | Nurse Anesthetist, Certified Registered | AP30001327 | WA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | MEDICARE RAILROAD | 430073112 | 01 |
WA | 9603887 | 05 | |
OR | 210785 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518241405 | William C Chisholm Jr. | Dentist | 6721 Government St, Ste D, Baton Rouge, LA 70806-6239 | 2011-10-10 |
1932425923 | William Marshall Chisholm | Family Medicine | 1400 S Potomac St, #150, Aurora, CO 80012-4528 | 2010-04-15 |
1114905742 | William C. Chisholm | Emergency Medicine | 163 S Tallahassee St, Hazlehurst, GA 31539-6465 | 2006-01-04 |
Street Address |
174 1ST AVE N |
City | ILWACO |
State | WA |
Zip Code | 98624-9137 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407404155 | Vaughan Gendelman | Physical Therapist | 174 1st Ave N, Ilwaco, WA 98624-9137 | 2019-08-27 |
1629551965 | Jaala Langley | Registered Nurse | 174 1st Ave N, Ilwaco, WA 98624-9137 | 2018-09-12 |
1063994036 | Andrew Clifford Lakanen | Dietitian, Registered | 174 1st Ave N, Ilwaco, WA 98624-9137 | 2018-09-05 |
1588145189 | Brenda Slagle | Registered Nurse | 174 1st Ave N, Ilwaco, WA 98624-9137 | 2018-08-22 |
1770029803 | Marinda Morris | Physical Therapist | 174 1st Ave N, Ilwaco, WA 98624-9137 | 2017-01-12 |
1235595299 | Providence Health & Services - Oregon | Clinic/Center | 174 1st Ave N, Ilwaco, WA 98624-9137 | 2016-01-06 |
1720345127 | Jacob Owings | Pharmacist | 174 1st Ave N, Ilwaco, WA 98624-9137 | 2012-04-23 |
1104067685 | Denise Ross | Registered Nurse | 174 1st Ave N, Ilwaco, WA 98624-0258 | 2009-03-13 |
1194966689 | Gloria Vandehey | Registered Nurse | 174 1st Ave N, Ilwaco, WA 98624-0258 | 2009-03-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215240593 | Discovery Coast Emergency Physicians LLC | Emergency Medicine | 174 First Ave. North, Ilwaco, WA 98624 | 2010-07-15 |
1720216302 | Jeffrey J Chabot | Pharmacist | 101 Spruce, Ilwaco, WA 98624 | 2009-06-23 |
1700025137 | Penny Irene Neal | Specialist | 120 First Avenue, Ilwaco, WA 98624 | 2009-02-09 |
1487817508 | Pacific Heart Associates PC | Specialist | 174 First Ave N, Ilwaco, WA 98624 | 2008-07-09 |
1639396203 | Ocean Beach Chiropractic Ps | Chiropractor | 167 First Avenue, North, Ilwaco, WA 98624 | 2007-04-18 |
1265568133 | Tamra Kay Roloff | Midwife | 901 Lakeview Drive, Ilwaco, WA 98624 | 2007-02-26 |
1255416038 | Peninsula Pharmacies Inc | Pharmacy | 101 1st Ave South, Ilwaco, WA 98624 | 2006-10-27 |
1356423883 | Ocean Beach Physical Therapy Inc | Physical Therapist | 316 1st Ave. North, Ilwaco, WA 98624 | 2006-10-20 |
1295825727 | Thomas Sutherland | Pharmacist | 101 First Ave S, Ilwaco Pharmacy, Ilwaco, WA 98624 | 2006-10-13 |
1922198662 | Victoria Margaret Vestal | Physical Therapist | 316 1st Ave North, Ilwaco, WA 98624 | 2006-10-13 |
Find all providers in zip 98624 |
Taxonomy Code | 367500000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Anesthetist, Certified Registered |
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891719951 | Betty S Miller | Nurse Anesthetist, Certified Registered | 2142 Wecoma Pl, Ilwaco, WA 98624-0430 | 2006-07-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871109835 | Mandy Lynn Engel | Nurse Anesthetist, Certified Registered | 5366 93rd Pl Sw, Mukilteo, WA 98275-3610 | 2020-09-16 |
1447872148 | Hs Orion Enterprises, LLC | Nurse Anesthetist, Certified Registered | 1120 N Pines Rd Ste 102, Spokane Valley, WA 99206-4942 | 2020-05-15 |
1457982308 | Salish Sedation Services, Pllc | Nurse Anesthetist, Certified Registered | 2930 Squalicum Pkwy Ste 202, Bellingham, WA 98225-1854 | 2020-01-30 |
1063043982 | Jose Daniel Olivera | Nurse Anesthetist, Certified Registered | 4800 Sand Point Way Ne Ste 100, Seattle, WA 98105-3901 | 2020-01-29 |
1750844312 | Amanda Marie Barrett | Nurse Anesthetist, Certified Registered | 11632 3rd St Ne, Lake Stevens, WA 98258-9716 | 2019-04-10 |
1154883320 | Zen Anesthesia LLC | Nurse Anesthetist, Certified Registered | 417 145th Ave Ne, Bellevue, WA 98007-4927 | 2019-04-04 |
1831651009 | Pacific Rim Anesthesia Services Pllc | Nurse Anesthetist, Certified Registered | 1427 Jefferson Ave Ste 101, Enumclaw, WA 98022-3649 | 2019-04-04 |
1386105633 | Frische Inc | Nurse Anesthetist, Certified Registered | 3100 Carillon Pt Ste 3100, Kirkland, WA 98033-7306 | 2019-03-28 |
1942765359 | Ethereal Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 9730 3rd Ave Ne Ste 200, Seattle, WA 98115-2023 | 2019-02-11 |
1548758733 | Empire of Daft Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 24622 214th Ave Se, Maple Valley, WA 98038-8507 | 2018-04-24 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.