Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Douglas Chisolm, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1811993496

Douglas Chisolm, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in New York, New York. Qualified in 1987, 39 years ago. Practices with Weill Medical College of Cornell, a 2,031-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
39
Licensed in
NY
In the registry since
2005
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

170 William St
New York, NY 10038-2612
Phone: (212) 312-5244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 362886 (NY)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 3628861 (NY)

Record details

NPI number1811993496
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 28, 2005
Last updated in NPPESFebruary 13, 2025
Certification dateFebruary 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Weill Medical College Of Cornell — 2031 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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