Roger D Hanley, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R0030656 Issued in OK

Practice address

5005 SW Malcom Rd
Lawton, OK 73505-9701

Phone

(580) 536-4141

Fax

(580) 536-4242

NPI assigned

Aug 18, 2005

Last updated

Feb 6, 2021By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians

Wichita Medical Anesthesia LLCGroup PAC ID 1355767385, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Health Hospital, Lawton, OK, CCN 370056

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.

• Wichita Medical Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Lawton, OK
  • NPI 1083222137

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Emergenchealth PLLC

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1467970897

  Nurse Anesthetist, Certified Registered, OK

  Medicare reassignment Care Compare group NPD
• H&H Medical Services, Inc

  • Certified Registered Nurse Anesthetist
  • Tulsa, OK
  • NPI 1558705046

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Ias Oklahoma LLC

  • Anesthesiology Physician
  • Lawton, OK
  • NPI 1174394365
  Medicare reassignment NPD
• J J Young

  dba Cataract Center Anesthesia Group

  • Anesthesiology Physician
  • Lawton, OK
  • NPI 1033221122
  Medicare reassignment NPD
• Agape Anesthesia Crna, PLLC

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
  • NPI 1346871480

  Nurse Anesthetist, Certified Registered, OK

  Medicare reassignment NPD
• George F Robie Jr M D PLLC

  • Obstetrics & Gynecology Physician
  • Elk City, OK
  • NPI 1558525337
  NPD (past)
• Premier Anesthesia Management Inc

  • Anesthesiology Physician
  • Tulsa, OK
  • NPI 1770968810
  NPD (past)
• University of Oklahoma Health Scien Ctr Southwest Ok Family Practice

  dba Southwest Oklahoma Family Practice

  • Family Medicine Physician
  • Lawton, OK
  • NPI 1790893097
  NPD (past)

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

• Comanche County Hospital Authority

  dba CCMH Ambulance Services

  • Land Ambulance
  • Walters, OK
  • NPI 1285181610

  Hospital

  Care Compare affiliation
• Comanche County Hospital Authority

  dba Comanche County Memorial Hospital

  • General Acute Care Hospital
  • Lawton, OK
  • NPI 1720022379
  Care Compare affiliation
• Comanche County Hospital Authority

  dba CCMH Ambulance Services

  • Land Ambulance
  • Lawton, OK
  • NPI 1770525883

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612569600000",
    "number": "1588656235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 SW MALCOM RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059701",
            "telephone_number": "580-536-4141",
            "fax_number": "580-536-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 SW MALCOM RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059701",
            "telephone_number": "580-536-4141",
            "fax_number": "580-536-4242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1003 NW Becontree Pl",
            "address_purpose": "LOCATION",
            "city": "Lawton",
            "state": "OK",
            "postal_code": "735054126",
            "country_code": "US",
            "telephone_number": "580-591-1910",
            "fax_number": "580-536-2067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANLEY",
        "first_name": "ROGER",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2021-02-06",
        "certification_date": "2021-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "R0030656",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "33243",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100781660A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendell Scott Hammonds, MS, LADC/MH
• Shalome Saida Hancox-Palomo, LCSW
• Samantha Handy, BHCM II
• David Allen Hanley, MD
• Kimberly Noelle Hanley, APRN, NP-C
• Sameh W Hanna, M.D.
• Traci Hanna
• Amy Hannington, PA
• Elijah Hansen
• Christine Diane Harbert, CRNA

• Certified Registered Nurse Anesthetist in Lawton, OK
• Providers in Lawton, 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 Feb 6, 2021; 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.