MR. MICHAEL D WILLIAMS (NPI# 1629015268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629015268 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL D WILLIAMS |
| Credential | MSN- CRNA |
| Practice Address |
435 2nd Street Newport TN 37821-3703 |
| Mailing Address |
12752 Kingston Pike Ste E202 Knoxville TN 37934-0948 |
| Practice Telephone | 8657770909 |
| Practice Fax Number | 8657770910 |
| Mailing Telephone | 8657770909 |
| Mailing Fax Number | 8657770910 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2011-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | R54267 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | R0088764 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 13682 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 2002008561 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | R008864 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | C01487 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 4704212626 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | RAILROAD MEDICARE | P00695341 | 01 |
| KY | BLUE CROSS/BLUE SHIELD | 000000599493 | 01 |
| TN | 1509646 | 05 | |
| OK | BLUE CROSS/BLUE SHIELD | 1629015268 | 01 |
| KY | 7100064580 | 05 | |
| TN | RAILROAD MEDICARE | P00695340 | 01 |
| OK | 200112930A | 05 | |
| TN | BLUE CROSS/BLUE SHIELD | 4193075 | 01 |
| KY | RAILROAD MEDICARE | P00695344 | 01 |
| OK | BCBSOK | 010672601002 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265056006 | Michael Andrew Williams | Physical Therapist | 11165 Caminito Vista Serena, San Diego, CA 92131-3304 | 2020-06-07 |
| 1629691159 | Michael Leon Williams | Psychologist | 2901 Troost Ave # 64109, Kansas City, MO 64109-1538 | 2020-05-19 |
| 1093345241 | Michael R. Williams | Social Worker | 304 Laurel Rise Ln, Columbia, SC 29229-7403 | 2020-01-16 |
| 1437796836 | Michael Ray Williams | Psychologist | 3319 N University Ave Ste 100, Provo, UT 84604-4447 | 2019-12-04 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1992231633 | Michael Williams | Contractor | 8590 Production Ave, Suite B, San Diego, CA 92121-2281 | 2017-05-01 |
| 1043750227 | Michael Xavier Williams | Student in an Organized Health Care Education/Training Program | 848 Keystone Way, Newport, PA 17074 | 2017-03-07 |
| 1215489893 | Michael T. Williams Jr. | Private Vehicle | 8 Milliner St, Rochester, NY 14611-1112 | 2016-10-28 |
| 1326407115 | Michael Williams | Chore Provider | 20452 Sunbright Ln, Germantown, MD 20874-1088 | 2016-02-22 |
| 1013382670 | Michael V Williams Jr. | Counselor | 3110 Clay St, Columbus, GA 31903-1926 | 2015-12-08 |
| Street Address |
435 2ND STREET |
| City | NEWPORT |
| State | TN |
| Zip Code | 37821-3703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093782963 | Constantino Diaz Miranda | Emergency Medicine | 435 2nd Street, Newport, TN 37821-3703 | 2006-03-01 |
| 1154367233 | Hazel Charlene Davis | Nurse Anesthetist, Certified Registered | 435 2nd Street, Newport, TN 37821-3703 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649733593 | Deborah Diane Webb | Licensed Practical Nurse | 1203 Beechwood Road, Newport, TN 37821 | 2019-04-08 |
| 1972072353 | Meg Marie Collins | Counselor | 990 Hwy 25, Newport, TN 37821 | 2018-11-15 |
| 1184199515 | Newport Family Eyecare | Optometrist | 1002 W Highway 25/70, Newport, TN 37821 | 2018-10-12 |
| 1578807269 | Newport Eyecare Center Pllc | Optometrist | 115 Hedrick Drive, Newport, TN 37821 | 2012-11-19 |
| 1538292867 | James Loran Hodge | Optometrist | 1075 Cosby Highway, Newport, TN 37821 | 2007-03-14 |
| 1336271071 | Alice Louise Dalton | Case Manager/Care Coordinator | 215 Hedrick Drive, Newport, TN 37821 | 2007-03-09 |
| 1700918521 | Kristi Renee Hansel | Case Manager/Care Coordinator | 215 Hendrick Drive, Newport, TN 37821 | 2007-03-09 |
| 1255404497 | Jeremy E Sherrod | Pharmacist | 602 E Broadway, Newport, TN 37821 | 2006-11-16 |
| 1316016306 | Stephen Kent Priser | Pharmacist | 468 Eastern Plaza, Newport, TN 37821 | 2006-11-06 |
| 1881770006 | Steven Fuller Smith | Dentist | 305 Cosby Hwy, Newport, TN 37821 | 2006-10-31 |
| Find all providers in zip 37821 | ||||
| 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 |
|---|---|---|---|---|
| 1952348427 | Cynthia A. Jacobi | Nurse Anesthetist, Certified Registered | 930 Sw Abbey Street, Newport, OR 97365-4820 | 2006-06-01 |
| 1780637587 | David Blair Coston | Nurse Anesthetist, Certified Registered | 432 2nd Street, Newport, TN 37821-3703 | 2006-05-19 |
| 1033466354 | Resource Anesthesia East Tennessee Inc | Nurse Anesthetist, Certified Registered | 435 2nd St, Newport, TN 37821-3703 | 2012-08-06 |
| 1952662553 | Adam Sutterfield | Nurse Anesthetist, Certified Registered | 1205 Mclain St, Newport, AR 72112-3533 | 2012-05-31 |
| 1275821316 | Mekenzie Spencer Johnston Kmack | Nurse Anesthetist, Certified Registered | 930 Sw Abbey St, Newport, OR 97365-4820 | 2011-07-11 |
| 1962683250 | Ronald D Gilliam | Nurse Anesthetist, Certified Registered | 930 Sw Abbey St, Newport, OR 97365-4820 | 2007-11-15 |
| 1255548517 | National Healthcare of Newport Inc | Nurse Anesthetist, Certified Registered | 1205 Mclain St, Newport, AR 72112-3533 | 2007-05-17 |
| 1720165160 | Lynn A Peterson | Nurse Anesthetist, Certified Registered | 714 W Pine St, Newport, WA 99156-9046 | 2006-11-01 |
| 1548293459 | Karl Arn Jacobson | Nurse Anesthetist, Certified Registered | 714 W Pine St, Newport, WA 99156-9046 | 2006-07-07 |
| 1154367233 | Hazel Charlene Davis | Nurse Anesthetist, Certified Registered | 435 2nd Street, Newport, TN 37821-3703 | 2006-06-20 |
| Find all providers in NEWPORT | ||||
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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.