DR. JOHN L ROUSSALIS (NPI# 1235252669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235252669 |
| Entity Type | Individual |
| Full Name | DR. JOHN L ROUSSALIS |
| Credential | M.D.PC |
| Practice Address |
537 Stanton Christiana Rd Newark DE 19713-2146 |
| Practice Telephone | 3026337550 |
| Practice Fax Number | 3026337556 |
| Mailing Telephone | 3026337550 |
| Mailing Fax Number | 3026337556 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2019-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
MD426938 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | PTAN | W21591 | 01 |
| WY | 127068100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821186842 | John Elias Roussalis II | Dentist | 1216 E 2nd St, Casper, WY 82601-2927 | 2006-10-11 |
| Street Address |
537 STANTON CHRISTIANA RD |
| City | NEWARK |
| State | DE |
| Zip Code | 19713-2146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023012515 | Helen A. Mashek | Dermatology | 537 Stanton Christiana Rd, Suite # 207, Newark, DE 19713-2146 | 2005-06-13 |
| 1104270834 | Premier Dermatology | Physician Assistant | 537 Stanton Christiana Rd, Suites 107,111,207 & 209, Newark, DE 19713-2146 | 2016-04-19 |
| 1730542424 | Chantel Priolo Mozal | Physician Assistant | 537 Stanton Christiana Rd, Suites 107,111,207 & 209, Newark, DE 19713-2146 | 2016-03-31 |
| 1275907743 | Comprehensive Neurology, P.a. | Psychiatry & Neurology | 537 Stanton Christiana Rd, Suite 106, Newark, DE 19713-2146 | 2015-11-21 |
| 1376941443 | Veena Reddy | Dentist | 537 Stanton Christiana Rd, Suite 211, Newark, DE 19713-2146 | 2014-12-05 |
| 1104223007 | Sara Beth Abbo | Nurse Practitioner | 537 Stanton Christiana Rd, Suite 201, Newark, DE 19713-2146 | 2014-11-21 |
| 1518363563 | Tiffany Hill | Nurse Practitioner | 537 Stanton Christiana Rd, 203, Newark, DE 19713-2146 | 2014-11-18 |
| 1386056364 | Amy Wharry | Registered Nurse | 537 Stanton Christiana Rd, Suite 109, Newark, DE 19713-2146 | 2014-05-27 |
| 1417388711 | Naura Shah | Physician Assistant | 537 Stanton Christiana Rd, Newark, DE 19713-2146 | 2013-12-11 |
| 1245574250 | Gwen Hall Dalphon | Physician Assistant | 537 Stanton Christiana Rd, Suite 207, Newark, DE 19713-2146 | 2012-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574490 | Stacie Guyton | Nurse Practitioner | 4501 Ogletown Stanton Road, Newark, DE 19713 | 2020-09-25 |
| 1225674633 | Michael Francis Stant | Specialist/Technologist | Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 | 2019-11-20 |
| 1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
| 1568983286 | Clarice Wanisku Kariuki | Licensed Practical Nurse | 15 Prestbury Square, Suite 14, Nweark, DE 19713 | 2017-07-03 |
| 1679029870 | Auxilia Akala | Nurse Practitioner | 1082 Churchmans Rd, Newrk, DE 19713 | 2016-08-28 |
| 1003369851 | Yawar Abbas | Psychiatry & Neurology | Rockford Center, 100 Rockford Dr, Newark, DE 19713 | 2016-07-28 |
| 1700245925 | Debra Hutz | Counselor | 25 Omega Dr., Professional Center #j, Newark, DE 19713 | 2016-02-16 |
| 1376918201 | Aquiles Igleisias | Speech-Language Pathologist | 540 South College Avenue, Newark, DE 19713 | 2015-12-03 |
| 1639547359 | Kylee Rose | Social Worker | 901 S. Chapel Street, Newark, DE 19713 | 2015-09-11 |
| 1932503976 | Kathleen Madara | Physical Therapist | 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 | 2014-10-20 |
| Find all providers in zip 19713 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093044091 | Jonathan N Saunders Md Pa | Surgery | E62 Omega Professional Center, Newark, DE 19713-2061 | 2009-12-22 |
| 1578731857 | Julia W Macrae Md Pa | Surgery | E-62 Omega Dr, Newark, DE 19713-2061 | 2008-02-20 |
| 1912123894 | Christiana Cosmetic Surgery Consultants LLC | Surgery | E 62 Omega Professional Center, Newark, DE 19713 | 2007-04-18 |
| 1902988256 | Julia W Macrae | Surgery | E62 Omega Dr, Omega Professional Center, Newark, DE 19713 | 2006-10-19 |
| 1831381706 | Licking Memorial Professional Corporation | Surgery | 1272 W Main St, Bldg. 2, Newark, OH 43055-2004 | 2007-08-15 |
| 1952466518 | Ramazi Otarovich Datiashvili | Surgery | 90 Bergen St, Doc 7200, Newark, NJ 07103-2425 | 2006-12-26 |
| 1699835744 | Earl J. Fleegler | Surgery | 90 Bergen St, Doc 7200, Newark, NJ 07103-2425 | 2006-12-11 |
| 1699746875 | Frank Ciminello | Surgery | 90 Bergen St, Doc 7200, Newark, NJ 07103-2425 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427209402 | David E. Schmidt Jr., M.d.p.a. | Surgery | 200 Banning St., Suite 230, Dover, DE 19904 | 2008-10-08 |
| 1194831149 | David E Schmidt Jr. | Surgery | 896 S State St, Dover, DE 19901-4148 | 2006-08-22 |
| 1487650867 | Benjamin Cooper | Surgery | 1941 Limestone Rd Ste 101, Wilmington, DE 19808-5413 | 2005-06-22 |
| 1922591320 | Gillespie Plastic & Reconstructive Surgery | Surgery | 4001 Kennett Pike Ste 234, Wilmington, DE 19807 | 2018-06-11 |
| 1912215542 | Delaware Plastic Surgery Pa | Surgery | 200 Banning St, Suite 230, Dover, DE 19904-3485 | 2010-09-16 |
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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.