Active NPI
Steven Wayne Bohr, CRNA
- Certified Registered Nurse Anesthetist
- Hixson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 9156
- Practice address
- 2512 Arbor Mist TRL
Hixson, TN 37343-4537 - Phone
- (423) 875-6500
- NPI assigned
- May 31, 2006
- Last updated
- Feb 16, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00211515 | Other | GA | RAILROAD MEDICARE |
| 000789478C | Medicaid | GA | |
| 000789478D | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN142861 | GA | MD | Anesthesiology Physician |
| 35628 | TN | MD | Family Nurse Practitioner |
| 9156 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Anesthesiology | Current | Accepting new patients |
| Foothills Anesthesia Associates PC | Anesthesiology | Current | Accepting new patients |
| Knoxville Gastroenterology Anesthesia Associates, LLC | Anesthesiology | Current | 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 | Past | 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.
-
- Anesthesiology Physician
- Maryville, TN
- NPI 1285873380
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1356717227
Anesthesiology
-
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
- NPI 1043278443
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Chattanooga, TN
- NPI 1518923705
-
- Pain Medicine (Anesthesiology) Physician
- Cookeville, TN
- NPI 1710919980
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Cartersville, GA
- NPI 1467016055
-
- Anesthesiology Physician
- Tucson, AZ
- NPI 1336470475
-
- Anesthesiology Physician
- Rome, GA
- NPI 1003838673
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.