MARY A ROUSE (NPI# 1225390768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225390768 |
| Entity Type | Individual |
| Full Name | MARY A ROUSE |
| Practice Address |
18 Broad St Johnson City NY 13790-2106 |
| Practice Telephone | 6077987117 |
| Practice Fax Number | 6077980074 |
| Mailing Telephone | 6077987117 |
| Mailing Fax Number | 6077980074 |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2012-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104025212 | Mary Anne Rouse | Licensed Practical Nurse | 97 Scholfield Rd, Rochester, NY 14617-4208 | 2007-07-18 |
| 1790314664 | Mary Rouse | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1578509345 | Mary D Rouse | Pediatrics | 6640 Intech Blvd, Suite 195, Indianapolis, IN 46278-2011 | 2006-06-21 |
| 1831146935 | Mary Evelyn Rouse | Registered Nurse | 9055 Shady Grove Ct, Gaithersburg, MD 20877-1301 | 2006-05-27 |
| Street Address |
18 BROAD ST |
| City | JOHNSON CITY |
| State | NY |
| Zip Code | 13790-2106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285738211 | April Renee Chidester | Speech-Language Pathologist | 18 Broad St, Johnson City, NY 13790-2106 | 2006-09-11 |
| 1104425859 | Kevin James Ludwig | Physical Medicine & Rehabilitation | 18 Broad St, Johnson City, NY 13790-2198 | 2020-10-23 |
| 1083226674 | Tracy E Olevano | Behavioral Analyst | 18 Broad St, Johnson City, NY 13790-2198 | 2020-08-17 |
| 1780154831 | Alyssa Janes | Occupational Therapist | 18 Broad St, Johnson City, NY 13790 | 2018-12-03 |
| 1528577509 | Teresa Hiney | Speech-Language Pathologist | 18 Broad St, Johnson City, NY 13790-2106 | 2017-09-22 |
| 1134672884 | Molly Cutia | Health Educator | 18 Broad St, Johnson City, NY 13790-2106 | 2016-07-29 |
| 1417307406 | Tara Schmitt | Health Educator | 18 Broad St, Johnson City, NY 13790-2106 | 2016-06-21 |
| 1134528698 | Alexandra Lynn Borowski | Occupational Therapist | 18 Broad St, Johnson City, NY 13790-2106 | 2014-08-20 |
| 1326478025 | Briana Mueller | Occupational Therapist | 18 Broad St, Johnson City, NY 13790-2106 | 2013-11-15 |
| 1659611671 | Diana L Brewer | Speech-Language Pathologist | 18 Broad St, Johnson City, NY 13790-2106 | 2013-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578107645 | Thomas William Sorber | Occupational Therapist | 33 Harrison St, Johnson City, Johnson City, NY 13790 | 2019-11-01 |
| 1326534116 | Silver Linings Golden Memory Care | Clinic/Center | 4416 Watson Blvd, Johnson City, NY 13790 | 2018-07-05 |
| 1508308545 | Irene Mukeli Nzasi | Registered Nurse | 156 Corliss Ave Suite 107, Johnson City, NY 13790 | 2016-11-08 |
| 1053867754 | Tabitha Rae Toman | Physical Therapist | 34 Harrison St, Johnson City, NY 13790 | 2016-09-01 |
| 1235685066 | Dianne Brunner | Physical Therapist | 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 | 2016-08-31 |
| 1578982682 | Tracy Lynn Brown | Optometrist | 223 Reynolds Road, Johnson City, NY 13790 | 2014-04-16 |
| 1083041495 | Maryann Serbonich | Pharmacist | 52 Harrison Street, Johnson City, NY 13790 | 2013-09-30 |
| 1134464399 | Kasey Connor Folger | Speech-Language Pathologist | 3 Laurel St., Johnson City, NY 13790 | 2012-11-29 |
| 1467797571 | Bodyworks Physical Therapy LLC | Clinic/Center | 765 Harry L Drive, Johnson City, NY 13790 | 2012-11-29 |
| 1548518400 | Melissa L Korosec | Nurse Practitioner | 30 Harrison St., Suite 250, Johnson City, NY 13790 | 2012-08-27 |
| Find all providers in zip 13790 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144620881 | Jennifer Spalik | Specialist | 167 N Hudson St, Johnson City, NY 13790-1414 | 2014-08-29 |
| 1417128968 | The Michal Child Development Center | Specialist | 302 Wesley St Ste 10, Johnson City, TN 37601-1769 | 2008-03-12 |
| 1922278480 | Mountainview Oral & Maxillofacial Surgery, P.C. | Specialist | 535 Columbia Dr, Johnson City, NY 13790-3302 | 2008-03-11 |
| 1346390937 | East Tennessee Anesthesia Services. LLC | Specialist | 221 Shadowood Dr, Johnson City, TN 37604-1128 | 2007-01-12 |
| 1962429647 | Tri-state Cardiology | Specialist | 2408 Susannah St, Ste.1, Johnson City, TN 37601-1728 | 2006-07-17 |
| 1366476657 | Gauri K Bhardwaj | Specialist | 699 Main St, Johnson City, NY 13790-1743 | 2006-07-10 |
| 1235168949 | Gamal S Boutros | Specialist | 329 Wesley Street, Suite 1, Johnson City, TN 37601-1721 | 2006-07-03 |
| 1740216910 | Daniel M O'roark | Specialist | 701 N State of Franklin Rd, Ste 9, Johnson City, TN 37604-3645 | 2006-06-22 |
| 1336135011 | Mohamad Isam Abdelazim | Specialist | 700 Harry L Dr, Johnson City, NY 13790-1145 | 2005-09-27 |
| 1922009521 | Elizabeth C. Smith | Specialist | 302 Wesley St, Suite 10, Johnson City, TN 37601-1740 | 2005-08-03 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 13790 |
Please comment or provide details below to improve the information on MARY A ROUSE.
| 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.