Timothy A Roman, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

725766 Issued in TX

Practice address

415 S Washington St
Fredericksburg, TX 78624-4636

Phone

(830) 997-9170

Fax

(830) 997-9226

NPI assigned

Mar 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Anesthesia Consultants of Fredericksburg

  • Anesthesiology Physician
  • Fredericksburg, TX
  • NPI 1356318513
  NPD (past)
• Cole Physical Therapy Inc

  dba Sports Medicine & Physical Therapy

  • Physical Therapy Clinic/Center
  • Fredericksburg, TX
  • NPI 1255342093
  NPD (past)
• Medsurge Alliance, PA

  • Anesthesiology Physician
  • San Antonio, TX
  • NPI 1346481611
  NPD (past)
• Delta Regional Anesthesiology Group

  • Anesthesiology Physician
  • Greenville, MS
  • NPI 1720059249

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Ochsner Clinic LLC

  dba Diabetes Prevention Program

  • Registered Dietitian
  • Covington, LA
  • NPI 1013747039
  NPD (past)

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323993600000",
    "number": "1154399087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W COLLEGE ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786242617",
            "telephone_number": "830-997-8579",
            "fax_number": "830-997-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S WASHINGTON ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244636",
            "telephone_number": "830-997-9170",
            "fax_number": "830-997-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "TIMOTHY",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2011-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "725766",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "RN725766",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178684002",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1786840",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8606UA",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "86079U",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Michael Roberts, RPH
• Andrew P Rockwood, M.D.
• Eugenia Price Rodriguez, LCSW
• Kelle Hagel Rodriguez, P.T.
• Cory Wade Rohlf, PT
• Peter Charles Romanick Sr., M.D.
• Gay Nell Royea, OT
• James Michael Royea, LCSW
• Tommy Russell, LPC
• San Antonio Kidney Disease Center Physicians Group, P.L.L.C.

• Certified Registered Nurse Anesthetist in Fredericksburg, TX
• Providers in Fredericksburg, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; 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.