MR. RAAD R ROUBEY


Address: 12255 De Paul Dr Ste 600, Bridgeton, MO 63044-2515
Phone: 3142095120

MR. RAAD R ROUBEY (NPI# 1528106739) 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) 1528106739
Entity Type Individual
Full Name MR. RAAD R ROUBEY
Credential M.D.
Practice Address 12255 De Paul Dr Ste 600
Bridgeton
MO 63044-2515
Mailing Address 3221 Mckelvey Rd Ste 301
Bridgeton
MO 63044-2551
Practice Telephone 3142095120
Enumeration Date 2007-02-01
Last Update Date 2020-02-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 108153 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO 204012918 05
MO UNITED HEALTH CARE 0403350 01
MO GROUP HEALTH PLAN 101187 01
MO BLUE CROSS BLUE SHIELD 122719 01
MO ANTHEM BLUE CROSS BLUE SH 152508 01
MO HEALTHLINK 413539 01
MO AETNA 5274793 01
MO GHP/PARTNERS 109111 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
6000 Hospital Dr, Hannibal, MO 634016887 5736293342 5736293432

Office Location

Street Address 12255 DE PAUL DR STE 600
City BRIDGETON
State MO
Zip Code 63044-2515

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366477226 Rebecca Deatherage Buwalda Nurse Practitioner 12255 De Paul Dr Ste 600, Bridgeton, MO 63044-2515 2006-07-11
1457842213 Tyla Aliece Johnson Nurse Practitioner 12255 De Paul Dr Ste 600, Bridgeton, MO 63044-2515 2018-05-28
1184157158 Molly E Peverada Family Medicine 12255 De Paul Dr Ste 600, Bridgeton, MO 63044-2515 2017-04-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073150017 Zoe Marie Wadsworth Nurse Practitioner 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 2019-12-10
1609412451 Beyond Better, Best Home Health Care Services, Limited Liability Corpo In Home Supportive Care 3430 Mckelvey Road Ste B, Bridgeton, MO 63044 2019-11-26
1275189078 Delicate Angels Home Health LLC Home Health 11726 St. Charles Rock Road Suite G, Bridgeton, MO 63044 2019-08-16
1588210082 Nicholas Huber Physical Therapist 12349 Depaul Dr., Ste. 110, Bridgeton, MO 63044 2019-08-12
1124688858 Michelle Bassett Registered Nurse 11520 St. Charles Rock Rd., Suite 106, Bridgeton, MO 63044 2019-06-14
1336703883 Elena A Barrow Nurse Practitioner 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 2019-04-30
1487123105 Laura N Steiner Registered Nurse Gateway Pediatrics, Ltd, 12255 Depaul Drive, Suite 460 North Medical Building, Bridgeton, MO 63044 2018-11-26
1205310950 Danielle Mathis Nurse Practitioner 3440 Depaul Lane Suite 201, Bridgeton, MO 63044 2018-09-19
1588163570 Thoughts Out Loud Counseling, LLC Social Worker 11520 St. Charles Rock Road Suite 101, Bridgeton, MO 63044 2018-02-06
1912411430 Breanna Victoria Hayes Counselor 3165 Mckevley Road, Suite 200, Bridgeton, MO 63044 2017-11-20
Find all providers in zip 63044

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174903256 Christopher Struby Internal Medicine 201 Laurel Heights Dr # 201, Bridgeton, NJ 08302 2015-06-04
1548359607 Stephen Hoey Internal Medicine 61 Casarow Dr, Bridgeton, NJ 08302-2244 2006-10-12
1730273772 Ekram L Hanna Internal Medicine 201 Laurel Heights Drive, Bridgeton, NJ 08302-3635 2006-10-03
1376647644 Bruce Jay Berwald Internal Medicine 3478 Bridgeland Dr, Bridgeton, MO 63044-2619 2006-09-08
1346350196 Mohammad Amin Zaman Internal Medicine 11520 Saint Charles Rock Rd Ste 106, Bridgeton, MO 63044 2006-08-30
1497761589 Ilyas Ahmed Internal Medicine 217 Laurel Heights Drive, Bridgeton, NJ 08302-3635 2006-07-31
1801826565 Internal Medicine Associates, Pa Internal Medicine 201 Laurel Heights Dr, Bridgeton, NJ 08302-3635 2006-07-05
1598738262 Steven W Baak Internal Medicine 3440 De Paul Ln, Suite 113, Bridgeton, MO 63044-3545 2006-02-10
1255930814 Reddy Md LLC Internal Medicine 3394 Mckelvey Rd Ste 115, Bridgeton, MO 63044-2531 2020-10-23
1275012452 Hospitalist Medicine Physicians of Missouri - Bridgeton, Inc. Internal Medicine 12303 De Paul Dr, Bridgeton, MO 63044-2512 2018-08-09
Find all providers in BRIDGETON

Competitor

Search similar providers

City BRIDGETON
Zip Code 63044

Improve Information

Please comment or provide details below to improve the information on MR. RAAD R ROUBEY.

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.

Trending Searches