WALTER GERRARD WILLIAMS II NPI 1003446436

Nurse Anesthetist, Certified Registered in Solon, OH

Individual Male Nurse Anesthetist, Certified Registered Accepts Medicare Years Experience 2

About WALTER WILLIAMS

Walter Williams is a provider established in Solon, Ohio and his medical specialization is nurse anesthetist, certified registered with more than 2 years of experience. The NPI number of Walter Williams is 1003446436 and was assigned on January 2020. The practitioner's primary taxonomy code is 367500000X with license number APRN.CRNA.020039 (OH). The provider is registered as an individual and his NPI record was last updated January 2020. Walter Williams is registered with Medicare and accepts claims assignment. According to Medicare claims data the provider has hospital affiliations with University Hospitals Of Cleveland.

NPI

1003446436

Provider Name WALTER GERRARD WILLIAMS II
Provider Location Address32480 W NIMROD ST SOLON, OH 44139
Provider Mailing Address32480 W NIMROD ST SOLON, OH 44139
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2019
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date01-24-2020
Last Update Date01-24-2020

Primary Taxonomy

Taxonomy Code367500000X
ClassificationNurse Anesthetist, Certified Registered
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.APRN.CRNA.020039
License StateOH
Taxonomy Description(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.

Business Address

WALTER GERRARD WILLIAMS II
32480 W NIMROD ST
SOLON, OH
ZIP 44139
Phone: (614) 264-5323

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Mailing Address

WALTER GERRARD WILLIAMS II
32480 W NIMROD ST
SOLON, OH
ZIP 44139
Phone:

Medicare Participation

PECOS PAC ID3870922669
PECOS Enrollment IDI20200330002583
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affilition the clinician must have provided services to at least three patients on three different dates in the last 12 months.

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN)
UNIVERSITY HOSPITALS OF CLEVELAND11100 EUCLID AVENUE
CLEVELAND, OH 44106
Acute Care Hospitals360137

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.