Individual provider Active NPI

Steven Wayne Bohr, CRNA

  • Certified Registered Nurse Anesthetist
  • Hixson, TN
National Provider Identifier
1891732954
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
9156 Issued in TN
Practice address
2512 Arbor Mist TRL
Hixson, TN 37343-4537
Phone
(423) 875-6500
NPI assigned
May 31, 2006
Last updated
Feb 16, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 9156 TN Primary
Anesthesiology Physician 207L00000X RN142861 GA

Addresses

Primary practice location

2512 Arbor Mist TRL
Hixson, TN 37343-4537

Mailing address

2512 Arbor Mist TRL
Hixson, TN 37343-4537
Phone (423) 875-6500

Other identifiers 3

IdentifierTypeStateIssuer
P00211515OtherGARAILROAD MEDICARE
000789478CMedicaidGA
000789478DMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100629000305 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325061484 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN142861GAMDAnesthesiology Physician
35628TNMDFamily Nurse Practitioner
9156TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Jul 1, 2020 Accepting new patients
Foothills Anesthesia Associates PC Anesthesiology CurrentSince Jun 14, 2010 Accepting new patients
Knoxville Gastroenterology Anesthesia Associates, LLC Anesthesiology CurrentSince Sep 1, 2015 Accepting new patients
Redmond Anesthesiology Associates, LLC Anesthesiology Past Accepting new patients
Anesthesiologists Associated PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Professional Anesthesia Services LLC Anesthesiology Past Accepting new patients
Harbin Clinic, LLC Past Accepting new patients
Anesthesiologists Associated PC Anesthesiology Past Accepting new patients
Upper Cumberland Anesthesia Associates, PC Nurse Anesthetist, Certified Registered PastSince Apr 19, 2020 Accepting new patients

Locations

310 N State of Franklin Rd
Ste 202
Johnson City, TN 37604
Phone (423) 434-3700

1311 Dowell Springs Blvd
Ste 100
Knoxville, TN 37909

801 N Weisgarber Rd
Ste 100
Knoxville, TN 37909
Phone 86558851211644

1706 E Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 983-0073

629 Delozier Way
#100
Powell, TN 37849
Phone (865) 622-3442

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1891732954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 ARBOR MIST TRL",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434537",
            "telephone_number": "423-875-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 ARBOR MIST TRL",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434537",
            "telephone_number": "423-875-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHR",
        "first_name": "STEVEN",
        "middle_name": "WAYNE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "9156",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "RN142861",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00211515",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000789478C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000789478D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.