| Mr Paul D Roesler, CRNA | |
|
1011 14th Ave Nw, Ardmore, OK 73401-1828 | |
| (918) 558-1920 | |
| Not Available |
| Full Name | Mr Paul D Roesler |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1011 14th Ave Nw, Ardmore, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346263118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | R0044017 (Oklahoma) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 44017 (Oklahoma) | Primary |
| Entity Name | Choctaw County City Of Hugo Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881689289 PECOS PAC ID: 8022921519 Enrollment ID: O20031111000136 |
| Entity Name | Surgical Hospital Of Oklahoma Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033229240 PECOS PAC ID: 2365337268 Enrollment ID: O20070423000351 |
| Entity Name | Western Oklahoma Anesthesia Consultants Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881102614 PECOS PAC ID: 4587924865 Enrollment ID: O20180206000663 |
| Entity Name | Anesthesia Management Solutions Of Oklahoma Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003375650 PECOS PAC ID: 7618219213 Enrollment ID: O20190501001353 |
| Entity Name | Western Oklahoma Anesthesia Consultants Woodward Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427615731 PECOS PAC ID: 3779817960 Enrollment ID: O20190621000715 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Paul D Roesler, CRNA 251 Rogers Cir, Durant, OK 74701-1728 Ph: (580) 916-2666 | Mr Paul D Roesler, CRNA 1011 14th Ave Nw, Ardmore, OK 73401-1828 Ph: (918) 558-1920 |