Active NPI
Roger Karl Pajunen, CRNA
- Certified Registered Nurse Anesthetist
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN11004272
- Practice address
- 6401 N Federal Hwy
Fort Lauderdale, FL 33308-1427 - Phone
- (954) 485-5666
- Fax
- (954) 484-1651
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R1485459 | MN | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN11004272 | FL | Primary |
Addresses
Primary practice location
6401 N Federal Hwy
Fort Lauderdale, FL 33308-1427
Mailing address
510 SE 5TH Ave Apt 202
Fort Lauderdale, FL 33301-2989
Phone (612) 965-1994
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104732800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, SC
Enrollment records 2
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
Practice addresses (Care Compare)
6001 Webb Rd
Tampa, FL 33615-3241
Phone (813) 888-7060
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26747 | SC | MD | Gastroenterology Physician |
| 95000096 | CA | MD | Family Nurse Practitioner |
| R1485459 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine State Anesthesia Partners LLC | Anesthesiology | Current | Accepting new patients |
| Carolina Anesthesia Associates PA | Anesthesiology | Current | Accepting new patients |
Locations
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145
6001 Webb Rd
Twn North Cntry, FL 33615
Phone (813) 579-1402
827 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 286-2020
101 Surgeons Dr
Myrtle Beach, SC 29579
Phone (803) 504-7194
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1437757127
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida South Tampa Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1871935072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581638400000",
"number": "1598858524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 SE 5TH AVE APT 202",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333012989",
"telephone_number": "612-965-1994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6401 N FEDERAL HWY",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333081427",
"telephone_number": "954-485-5666",
"fax_number": "954-484-1651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAJUNEN",
"first_name": "ROGER",
"middle_name": "KARL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2020-02-14",
"certification_date": "2020-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R1485459",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN11004272",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104732800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.