Terry R Roach, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

92846 Issued in CO

Practice address

1218 N Main St
Pueblo, CO 81003-2828

Phone

(719) 543-7877

Fax

(719) 543-7882

NPI assigned

Nov 16, 2006

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Anesthesia & Pain Management Services of Pueblo

  • Anesthesiology Physician
  • Pueblo, CO
  • NPI 1639255409
  NPD (past)
• Matthew J Furman, D.O. LLC

  • Pain Medicine Physician
  • Pueblo, CO
  • NPI 1952739427
  NPD (past)
• Purchase Anesthesia, PSC

  • Anesthesiology Physician
  • Paducah, KY
  • NPI 1215987953

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659444685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 N MAIN ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032828",
            "telephone_number": "719-543-7877",
            "fax_number": "719-543-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 N MAIN ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032828",
            "telephone_number": "719-543-7877",
            "fax_number": "719-543-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "TERRY",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "92845",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "92846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Rivera
• Richard Rivera, MD
• Alizeh Rizvi, M.D
• Nicole Rizzo
• Kasey Taehoon Ro, DPT
• Road 2 Recovery LLC
• Sarah Kate Roark, RN,MSNL, ACAGNP-BC
• Brenda D Robb
• Jonne A Robbins, DENTAL ASSISTANT
• Jackie Lynette Roberson

• Certified Registered Nurse Anesthetist in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Certified Registered Nurse Anesthetist in Colorado

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.