Active NPI
William Lee Roehm, CRNA
- Certified Registered Nurse Anesthetist
- Travelers Rest, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R59305
- Practice address
- 8 Autumn Oak Way
Travelers Rest, SC 29690-4066 - Phone
- (864) 836-6151
- Fax
- (864) 836-6157
- NPI assigned
- Jan 18, 2006
- Last updated
- Apr 16, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R59305 | SC | Primary |
| Registered Nurse | 163W00000X | R59305 | SC |
Addresses
Primary practice location
8 Autumn Oak Way
Travelers Rest, SC 29690-4066
Mailing address
8 Autumn Oak Way
Travelers Rest, SC 29690-4066
Phone (864) 836-6151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R59305 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MNH Gi Anesthesia & Pain Management LLC | Past | Accepting new patients | |
| Piedmont Hendersonville Anesthesia Consultants PLLC | Past | Accepting new patients | |
| Anesthesia Associates of York PA Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Progressive Anesthesia LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Mercy Tyler Hospital | Past | Accepting new patients | |
| Forest Grand Anesthesiologists Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Greenville Health System | Past | Accepting new patients | |
| Galloway Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Gastrointestinal Specialists PC | Past | Accepting new patients | |
| Narrows Anesthesia Services PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Murray Anesthesia Group, PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Mercy Tyler Health Systems | Past | Accepting new patients | |
| Mymichigan Medical Center Tawas | Past | Accepting new patients |
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366070400000",
"number": "1013997071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 AUTUMN OAK WAY",
"city": "TRAVELERS REST",
"state": "SC",
"postal_code": "296904066",
"telephone_number": "864-836-6151",
"fax_number": "864-836-6157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 AUTUMN OAK WAY",
"city": "TRAVELERS REST",
"state": "SC",
"postal_code": "296904066",
"telephone_number": "864-836-6151",
"fax_number": "864-836-6157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROEHM",
"first_name": "WILLIAM",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2013-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "R59305",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "R59305",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Travelers Rest, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.