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MEGAN ROETHLE CCP, RN
NPI 1063953784
Perfusionist in Kenosha, WI

Active since March 14, 2017
6308 8TH AVE, KENOSHA, WI 53143(262) 355-5636 Get Directions Write a Review

NPPES record last updated: April 5, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 5, 2019, Mar 14, 2017 (2 updates tracked since 2017).

About Megan Roethle Ccp, Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEGAN ROETHLE CCP, RN (NPI 1063953784) is an individual perfusionist provider in Kenosha, Wisconsin and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1063953784
Entity TypeIndividualFemale
Primary Taxonomy242T00000X
Provider Legal NameMEGAN ROETHLECredential: CCP, RN
Location Address6308 8TH AVEKenosha, WI 53143-5031
Mailing Address6308 8th AveKenosha, WI 53143-5031
Phone(262) 355-5636
Sole ProprietorNo
Enumeration DateMarch 14, 2017
Last NPPES UpdateApril 5, 20192 updates tracked since enumeration
✔ NPI 1063953784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPerfusionistTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code242T00000X
Definition

A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used.

Also ListedRegistered NurseTaxonomy 163W00000X · License 196715 (WI)
6308 8TH AVE, Kenosha, WI 53143
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Other Names 1

Former Name (1)Megan K Justman Ccp, Rn

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GINA GAMBUCCI MS, LAT, ATC, OTC
Specialist/Technologist (Athletic Trainer)
6308 8TH AVE
KENOSHA, WI 53143
Kenosha County (262) 656-2011
HANNA MARIANI M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
6308 8TH AVE, STE 3070
KENOSHA, WI 53143
Kenosha County (262) 656-3710
RAYMOND W KNIGHT MD
Internal Medicine (Hematology & Oncology)
6308 8TH AVE, STE 2000
KENOSHA, WI 53143
Kenosha County (262) 653-5300
BRADLEY N. HAUGSTAD, M.D., S.C.
Anesthesiology
6308 8TH AVE
KENOSHA, WI 53143
Kenosha County (262) 656-2011
JIMALEEN DELABIO
General Acute Care Hospital
6308 8TH AVE
KENOSHA, WI 53143
Kenosha County (262) 656-3290
KENOSHA VASCULAR LAB INC
Specialist
6308 8TH AVE, SUITE 301
KENOSHA, WI 53143
Kenosha County (262) 656-8265
MARK R VYTLACIL M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
6308 8TH AVE
KENOSHA, WI 53143
Kenosha County (262) 656-2943
MICHAEL H ZEIHEN MD
Internal Medicine
6308 8TH AVE, SUITE 2000
KENOSHA, WI 53143
Kenosha County (262) 653-5300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Megan Roethle's NPI number?

The NPI number for Megan Roethle is 1063953784. It was assigned to this individual provider in the NPPES registry on March 14, 2017. The provider is also known as Megan K Justman Ccp, Rn.

Where is Megan Roethle located?

Megan Roethle practices at 6308 8th Ave, Kenosha, WI 53143. The listed phone number is (262) 355-5636.

What is Megan Roethle's specialty?

The primary specialty registered for this NPI is Perfusionist with taxonomy code 242T00000X.

When was this NPI record last updated?

The NPPES record for Megan Roethle was last updated on April 5, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.