ROUGEAU GROUP P A (NPI# 1265767008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265767008 |
| Entity Type | Organization |
| Organization Name | ROUGEAU GROUP P A |
| Practice Address |
455 Hogan Ln Conway AR 72034-8201 |
| Mailing Address |
805 Country Club Rd Conway AR 72034-7273 |
| Practice Telephone | 5015130799 |
| Mailing Telephone | 5014288868 |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2009-10-13 |
| Authorized Official Name | CLAY H ROUGEAU (OWNER) |
| Authorized Official Telephone | 5014288868 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | C00616 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
455 HOGAN LN |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-8201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992702336 | Kevin David Heath | Internal Medicine | 455 Hogan Ln, Conway, AR 72034-8201 | 2005-06-30 |
| 1962635359 | Joy Deane Wilcox | Nurse Practitioner | 455 Hogan Ln, Conway, AR 72034-8201 | 2009-09-01 |
| 1528065976 | Conway Gastroenterology, Pa | Internal Medicine | 455 Hogan Ln, Conway, AR 72034-8201 | 2005-06-30 |
| 1265439632 | Conway Endoscopy Center, Inc. | Clinic/Center | 455 Hogan Ln, Conway, AR 72034-8201 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
| 1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| Find all providers in zip 72034 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215267513 | Guardian Anesthesia Services, Pa | Nurse Anesthetist, Certified Registered | 725 Diane Ln, Conway, AR 72034-9362 | 2010-01-08 |
| 1902849748 | Gina Orr | Nurse Anesthetist, Certified Registered | 300 Singleton Road, Conway, SC 29526-9142 | 2006-06-13 |
| 1467450643 | Kathleen M Chance | Nurse Anesthetist, Certified Registered | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2005-07-12 |
| 1184248569 | Evan Samuel Culp | Nurse Anesthetist, Certified Registered | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-06-02 |
| 1134748411 | Andrew Loyd Osmon | Nurse Anesthetist, Certified Registered | 2425 Prince St Ste 4, Conway, AR 72034-3701 | 2020-04-15 |
| 1518586270 | Jennifer Nicole Dillon | Nurse Anesthetist, Certified Registered | 2425 Prince St Ste 4, Conway, AR 72034-3701 | 2020-04-13 |
| 1912546383 | Robert Michael Marrero Jr. | Nurse Anesthetist, Certified Registered | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-01-02 |
| 1245727486 | Bethany Roberts | Nurse Anesthetist, Certified Registered | 525 Western Ave, Conway, AR 72034 | 2018-04-13 |
| 1184163503 | Kittipong Srisuwan | Nurse Anesthetist, Certified Registered | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2017-02-17 |
| 1043458946 | Patty Johnson Reis | Nurse Anesthetist, Certified Registered | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2009-01-30 |
| Find all providers in CONWAY | ||||
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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.