Provider Demographics
NPI:1750377842
Name:WILLIAMS, ROBERT ALLEN (RN, CRNA)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:ALLEN
Last Name:WILLIAMS
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Gender:M
Credentials:RN, CRNA
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Mailing Address - Street 1:4549 RAYNOR COURT
Mailing Address - Street 2:OUTPATIENT ANESTHESIA SPECIALISTS
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040
Mailing Address - Country:US
Mailing Address - Phone:513-204-5696
Mailing Address - Fax:877-284-4283
Practice Address - Street 1:2000 JOSEPH E. SANKER BOULEVARD
Practice Address - Street 2:THE UROLOGY CENTER
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45212
Practice Address - Country:US
Practice Address - Phone:513-841-7600
Practice Address - Fax:513-841-7601
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2016-02-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH224586367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0993886Medicaid
OH0993886Medicaid
OHH043961Medicare PIN