Individual provider Active NPI

Timothy Jon Rohaley

  • Certified Registered Nurse Anesthetist
  • Pittsburgh, PA
National Provider Identifier
1063728004
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN544158 Issued in PA
Practice address
1000 Bower Hill Rd
Pittsburgh, PA 15243-1873
Phone
(412) 344-6600
NPI assigned
Aug 27, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN544158 PA Primary

Addresses

Primary practice location

1000 Bower Hill Rd
Pittsburgh, PA 15243-1873

Mailing address

244 Munce Rd
Washington, PA 15301-9628
Phone (724) 825-8680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101210000843 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1850588252 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN544158PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Anesthesia Consultants, LTD CurrentSince Jul 1, 2014 Accepting new patients
St Clair Anesthesiology Associates Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2010 Accepting new patients
Pittsburgh Gastroenterology Associates CurrentSince Jun 1, 2016 Accepting new patients

Locations

2589 Boyce Plaza Rd
Ste 5
Pittsburgh, PA 15241
Phone (412) 232-8104

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

155 Wilson Ave
Washington, PA 15301
Phone (724) 223-3342

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282867200000",
    "number": "1063728004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 MUNCE RD",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153019628",
            "telephone_number": "724-825-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BOWER HILL RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431873",
            "telephone_number": "412-344-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHALEY",
        "first_name": "TIMOTHY",
        "middle_name": "JON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN544158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.