DR. RICHARD GEORGE ROUGEAU


Address: 17679 Wildridge Drive, Wildwood, MO 63005
Phone: 6365198626

DR. RICHARD GEORGE ROUGEAU (NPI# 1265850556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265850556
Entity Type Individual
Full Name DR. RICHARD GEORGE ROUGEAU
Credential MD
Practice Address 17679 Wildridge Drive
Wildwood
MO 63005
Practice Telephone 6365198626
Mailing Telephone 6365198626
Enumeration Date 2014-04-03
Last Update Date 2014-04-03
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 2001002338 MO Allopathic & Osteopathic Physicians

Office Location

Street Address 17679 WILDRIDGE DRIVE
City WILDWOOD
State MO
Zip Code 63005

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1912462912 Thomas George Brett General Practice 800 Missouri 248, Building 3 Suite A, Branson, MO 65616 2019-02-04
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1821579798 Healthy Schools Missouri LLC General Practice 3675 S Noland Rd Ste 200, Independence, MO 64055-3369 2018-08-28
1902300825 Landmark Medical of Missouri PC General Practice 312 Sw Greenwich Dr # 315, Lees Summit, MO 64082-4408 2018-03-23
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1093218224 Andrew Jason Doppelt General Practice 200 E Southampton Dr Ste 104, Columbia, MO 65203-3032 2018-03-14
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Competitor

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City WILDWOOD
Zip Code 63005

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Dataset Information

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.

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