Trey Ryan Roundtree, APRN-CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

99885 Issued in OK

Practice address

1011 14TH Ave NW
Ardmore, OK 73401-1828

Phone

(580) 223-5400

NPI assigned

Jan 25, 2018

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 OK

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Great Plains Anesthesia PLLCGroup PAC ID 9133431935, 19 clinicians

Grasshopper Anesthesia Services PLLCGroup PAC ID 3072882315, 70 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital Ardmore, Inc Hospital, Ardmore, OK, CCN 370047

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Great Plains Anesthesia, PLLC

  • Anesthesiology Physician
  • Ardmore, OK
  • NPI 1285020362
  Medicare reassignment Care Compare group NPD
• Grasshopper Anesthesia Services PLLC

  • Certified Registered Nurse Anesthetist
  • Nacogdoches, TX
  • NPI 1932635752

  Nurse Anesthetist, Certified Registered, OK

  Medicare reassignment Care Compare group NPD
• Southern Oklahoma Surgical Center Inc

  • Ambulatory Surgical Clinic/Center
  • Ardmore, OK
  • NPI 1699767210
  Medicare reassignment NPD
• Western Oklahoma Anesthesia Consultants PLLC

  • Anesthesiology Physician
  • Elk City, OK
  • NPI 1881102614
  Medicare reassignment NPD

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

• Mercy Hospital Ardmore, Inc.

  • General Acute Care Hospital
  • Ardmore, OK
  • NPI 1386741635
  Care Compare affiliation

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1245738145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 DOLESE RD",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734017578",
            "telephone_number": "580-513-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 14TH AVE NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011828",
            "telephone_number": "580-223-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "729 Dolese Rd",
            "address_purpose": "LOCATION",
            "city": "Ardmore",
            "state": "OK",
            "postal_code": "734017578",
            "country_code": "US",
            "telephone_number": "580-513-4732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROUNDTREE",
        "first_name": "TREY",
        "middle_name": "RYAN",
        "credential": "APRN-CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "99885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alajai Rosemond
• Jeffery Thomas Ross, DO
• Phillip Bryan Ross
• Sarah Litteken Ross, O.D
• Jeffrey A Rother, MD
• Jessica Dawn Rousey, PHARMD
• Lauren Rowland
• Abbigail Roy
• Chloe Rucker
• John Elgin Rudd, L.P.C.

• Certified Registered Nurse Anesthetist in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Certified Registered Nurse Anesthetist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.