Charley Allen Roman, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.019791 Issued in OH

Practice address

17273 State Route 104
Chillicothe, OH 45601-9718

Phone

(740) 773-1141

NPI assigned

Aug 26, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Greenfield Area Medical Center Hospital, Greenfield, OH, CCN 361304

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charley.roman.1@29481.direct.athenahealth.com

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.

• Roman Family Healthcare

  • Family Medicine Physician
  • Greenfield, OH
  • NPI 1821654674
  Medicare reassignment Authorized official
• North Creek LLC

  • General Practice Physician
  • Greenfield, OH
  • NPI 1457858797
  Medicare reassignment NPD
• Pure Health Management Inc.

  • Chiropractor
  • Chillicothe, OH
  • NPI 1922501691

  Family

  Medicare reassignment NPD
• Reach for Tomorrow Inc

  • General Practice Physician
  • Kingston, OH
  • NPI 1679062145
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Greenfield Area Medical Center

  • Critical Access Hospital
  • Greenfield, OH
  • NPI 1215960901
  Care Compare affiliation

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1063968469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17273 STATE ROUTE 104",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17273 STATE ROUTE 104",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019718",
            "telephone_number": "740-773-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "CHARLEY",
        "middle_name": "ALLEN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-26",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.019791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Sue Roe, LPN
• Deborah Rogers, DO
• Bonnie Rohrbach, PSYD
• Alexandra Roll-Miller, MS/CCC-SLP
• Lori Ann Roll, RN
• Nicole Romans, CDCA
• Ronald a. Griffin, DDS, LLC
• Gail Ann Rooker, CDCA
• Toni Leann Rooker
• Angela Roosa

• Family Nurse Practitioner in Chillicothe, OH
• Providers in Chillicothe, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.