John Eric Roe Jr., CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

700663 Issued in KY

Practice address

1011 Old Highway 60
Hardinsburg, KY 40143

Phone

(270) 756-7000

NPI assigned

Jan 18, 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

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 and National Provider Directory roles.

• Breckinridge Health, Inc

  • Critical Access Hospital
  • Hardinsburg, KY
  • NPI 1104828383
  Medicare reassignment NPD
• Ohio County Hospital Corporation

  • Certified Registered Nurse Anesthetist
  • Hartford, KY
  • NPI 1740812031

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Breckinridge Health Inc

  • Rural Health Clinic/Center
  • MC Daniels, KY
  • NPI 1235566332
  NPD
• Breckinridge Health Inc

  • Family Medicine Physician
  • Irvington, KY
  • NPI 1831990662
  NPD
• Ohio County Hospital Corporation

  • Gastroenterology Physician
  • Owensboro, KY
  • NPI 1437961828
  NPD

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

{
    "created_epoch": "1453075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1306203641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1347 NEVINS STATION RD",
            "city": "LAWRENCEBURG",
            "state": "KY",
            "postal_code": "403429759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 OLD HIGHWAY 60",
            "city": "HARDINSBURG",
            "state": "KY",
            "postal_code": "40143",
            "telephone_number": "270-756-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 N Main St",
            "address_purpose": "LOCATION",
            "city": "Beaver Dam",
            "state": "KY",
            "postal_code": "423201553",
            "country_code": "US",
            "telephone_number": "270-274-0480",
            "fax_number": "270-274-0482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROE",
        "first_name": "JOHN",
        "middle_name": "ERIC",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-18",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "700663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "3010062",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNA CERTIFICATION",
            "identifier": "700663",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Grace Puckett, PHARMD
• Mary Ratliff, RD, LD
• Rebecca Driskell-McCoy
• Ana Reed, DPT
• Robert B Chambliss MD PLLC
• Kent Ruskowski, DC
• Andrew Ruther, LCSW
• Haley Scott
• Elaine Rachael Shines
• James Gaines Sills, M.D.

• Certified Registered Nurse Anesthetist in Hardinsburg, KY
• Providers in Hardinsburg, KY by specialty
• Certified Registered Nurse Anesthetist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.