Individual provider Active NPI

Roderick L. Myers, CRNA

  • Certified Registered Nurse Anesthetist
  • Portsmouth, VA
National Provider Identifier
1235185109
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024166942 Issued in VA
Practice address
355 Crawford St
Suite 808
Portsmouth, VA 23704-2816
Phone
(757) 399-7451
Fax
(757) 399-1158
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0024166942 VA Primary

Addresses

Primary practice location

355 Crawford St
Suite 808
Portsmouth, VA 23704-2816

Mailing address

355 Crawford St
Suite 808
Portsmouth, VA 23704-2816
Phone (757) 399-7451

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060607000034 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4587675673 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Medical Group Hampton Roads Specialty Care LLCGroup PAC ID 3173955671, 197 clinicians
Bayview Physician Services PCGroup PAC ID 5597664201, 311 clinicians
Capital Digestive Care LLCGroup PAC ID 3870669419, 241 clinicians
Northstar Anesthesia of Virginia, LLCGroup PAC ID 6608268826, 407 clinicians
Virginia Gastroenterology Institute PCGroup PAC ID 1951604677, 9 clinicians

Practice addresses (Care Compare)

100 Fairview Dr
Franklin, VA 23851-1238
Phone (757) 569-6100

111 Mill Creek Pkwy
Suite 300
Chesapeake, VA 23323-1098
Phone (757) 558-8210

150 Kingsley LN
Norfolk, VA 23505-4602
Phone (757) 398-2673

1925 Glenn Mitchell Dr
Suite 102
Virginia Beach, VA 23456-0170
Phone (757) 464-1644

3636 High St
Portsmouth, VA 23707-3236
Phone (757) 398-2200

3910 Bridge Rd
Suite 101
Suffolk, VA 23435-1107
Phone (757) 942-2566

541 Sunset LN
Suite 201
Culpeper, VA 22701-3979
Phone (540) 829-0700

736 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone (757) 312-6162

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024166942VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Digestive Care, LLC CurrentSince Apr 15, 2025 Accepting new patients
Virginia Gastroenterology Institute PC CurrentSince Dec 7, 2019 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Jan 1, 2020 Accepting new patients
Capital Digestive Care, LLC CurrentSince Apr 15, 2025 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2020 Accepting new patients
Bayview Physician Services, PC CurrentSince Dec 22, 2014 Accepting new patients
Northstar Anesthesia of Virginia, LLC CurrentSince Dec 19, 2023 Accepting new patients
Bayview Physician Services, PC CurrentSince Dec 22, 2014 Accepting new patients
Capital Digestive Care ,LLC Current Accepting new patients
Virginia Gastroenterology Institute PC CurrentSince Jun 28, 2020 Accepting new patients

Locations

113 Gainsborough Sq
Ste 101
Chesapeake, VA 23320
Phone (757) 436-3285

3241 Western Branch Blvd
Chesapeake, VA 23321
Phone (757) 686-3500

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

541 Sunset Ln
Ste 201
Culpeper, VA 22701
Phone (540) 829-0700

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

3636 High St
Portsmouth, VA 23707
Phone (757) 398-2200

8580 Magellan Pkwy
Richmond, VA 23227
Phone (804) 627-5462

3009 Corporate Ln
Ste 220
Suffolk, VA 23434
Phone 7574836100 ext. 208

2790 Godwin Blvd
Ste 205
Suffolk, VA 23434
Phone (757) 934-7753

5818 Harbour View Blvd
Ste 102
Suffolk, VA 23435
Phone (757) 215-3565

3910 Bridge Rd
Ste 101
Suffolk, VA 23435
Phone (757) 942-2566

2000 Meade Pkwy
Ste 195
Suffolk, VA 23434

5839 Harbour View Blvd
Ste 200
Suffolk, VA 23435
Phone (757) 483-6100

1925 Glenn Mitchell Dr
Ste 102
Virginia Beach, VA 23456
Phone (757) 464-1644

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12739/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235185109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 CRAWFORD ST",
            "address_2": "SUITE 808",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042816",
            "telephone_number": "757-399-7451",
            "fax_number": "757-399-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 CRAWFORD ST",
            "address_2": "SUITE 808",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042816",
            "telephone_number": "757-399-7451",
            "fax_number": "757-399-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "RODERICK",
        "middle_name": "L.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024166942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.