Individual provider Active NPI

William Lee Roehm, CRNA

  • Certified Registered Nurse Anesthetist
  • Travelers Rest, SC
National Provider Identifier
1013997071
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R59305 Issued in SC
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R59305SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Apr 23, 2023 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 PastSince Jan 1, 1995 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.

View all 13

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.

Verify at the official NPI Registry.