DR. JACOB DUDLEY ROUSE (NPI# 1225013196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225013196 |
Entity Type | Individual |
Full Name | DR. JACOB DUDLEY ROUSE |
Credential | M.D. |
Practice Address |
603 S Orange St New Smyrna Beach FL 32168-7320 |
Practice Telephone | 3864230333 |
Practice Fax Number | 3864230042 |
Mailing Telephone | 3864230333 |
Mailing Fax Number | 3864230042 |
Enumeration Date | 2005-12-13 |
Last Update Date | 2014-07-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
ME32999 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 067960700 | 05 | |
FL | 623712 | AETNA | 01 |
FL | CIGNA | 4703735004 | 01 |
FL | AETNA | 4055589 | 01 |
FL | FLORIDA HEALTH CARE | 210925 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871680967 | Jacob Carl Rouse | Anesthesiology | 525 E 68th St Ste A1014, New York, NY 10021-4870 | 2006-10-09 |
1689042657 | Jacob Rouse | Physician Assistant | 5005 N Piedras St, Attn: Wbamc, El Paso, TX 79920-5002 | 2015-09-09 |
Street Address |
603 S ORANGE ST |
City | NEW SMYRNA BEACH |
State | FL |
Zip Code | 32168-7320 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245233725 | New Smyrna Beach Gynecology & Obstetrics Pa | Nurse Practitioner | 603 S Orange St, New Smyrna Beach, FL 32168-7320 | 2005-05-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114546504 | Karen Lynn Gray | Occupational Therapist | 125 Memorial Medical Parkway, New Smyrna Beach, FL 32168 | 2020-04-15 |
1619500154 | Janelle Wadman | Physical Therapist | 1994 Sr-44, New Smyrna Beach, FL 32168 | 2020-02-12 |
1184262354 | Jessica Magers, LLC | Clinic/Center | 136 Julie St., New Smyrna Beach, FL 32168 | 2019-12-18 |
1760027171 | Jessica Lyn Magers | Counselor | 136 Julia Street, Unit 100, New Smyrna Beach, FL 32168 | 2019-11-08 |
1326453747 | Prc Associates, LLC | Anesthesiology | 501 S. Orange St., New Smyrna Beach, FL 32168 | 2014-06-24 |
1265842272 | David Farmer | Chiropractor | 532 Canal Street, New Smyrna Beach, FL 32168 | 2014-04-29 |
1184059750 | Fairgreen Assisted Living Inc. | Assisted Living Facility | 1150 Wayne Ave., New Smyrna Beach, FL 32168 | 2013-09-13 |
1427393982 | Jami L Peace | Hearing Instrument Specialist | 111 N Orange St, New Smyrna Beach, FL 32168 | 2012-12-10 |
1154608149 | Roberta Bornemann | Specialist | 519 Mill Run Drive, New Smyrna, FL 32168 | 2011-11-04 |
1023314358 | Scott Asman | Hearing Instrument Specialist | 1958 State Road 44, New Smyrna Beach, FL 32168 | 2011-02-03 |
Find all providers in zip 32168 |
Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053910240 | Jeffrey M Greenberg Md Medical Services Inc | Obstetrics & Gynecology | 13324 Pond Apple Dr W, Naples, FL 34119-8556 | 2020-10-20 |
1497365464 | Hamel Foundation Inc | Obstetrics & Gynecology | 7777 N University Dr Ste 206, Tamarac, FL 33321-6106 | 2020-08-05 |
1336786466 | Manfred Emil Trostel | Obstetrics & Gynecology | 2425 Gulf of Mexico Dr Unit 8d, Longboat Key, FL 34228-3213 | 2019-12-09 |
1790335164 | Customized Wellness, LLC | Obstetrics & Gynecology | 131 W Center Avenue, Sebring, FL 33870 | 2019-09-17 |
1649737552 | Joe Walker Bancroft Jr. | Obstetrics & Gynecology | 4618 Long Bow Rd. South, Jacksonville, FL 32210-8144 | 2019-02-27 |
1649748666 | Kristin M Jackson LLC | Obstetrics & Gynecology | 260 Lookout Pl Ste 201, Maitland, FL 32751-4485 | 2018-11-07 |
1710476239 | Yvette Pereyra Ans | Obstetrics & Gynecology | 3990 Sheridan St Ste 214, Hollywood, FL 33021-3656 | 2018-05-10 |
1194223800 | Vandyke Md Ob/gyn Pa | Obstetrics & Gynecology | 9161 Narcoossee Rd Ste B209, Orlando, FL 32827-5764 | 2018-01-28 |
1538676515 | Adam Ostrzenski | Obstetrics & Gynecology | 7001 Central Ave Ste 3, St Petersburg, FL 33710-7549 | 2017-12-29 |
1144735945 | Judith Watson Bradfield | Obstetrics & Gynecology | 8024 Links Way, Port St Lucie, FL 34986-3035 | 2017-12-04 |
Find all providers with the same taxonomy |
City | NEW SMYRNA BEACH |
Zip Code | 32168 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.