DR. MARY D ROUSE (NPI# 1578509345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578509345 |
| Entity Type | Individual |
| Full Name | DR. MARY D ROUSE |
| Credential | MD |
| Practice Address |
6640 Intech Blvd Suite 195 Indianapolis IN 46278-2011 |
| Mailing Address |
6640 Intech Blvd Ste 195 Indianapolis IN 46278-2011 |
| Practice Telephone | 3172950608 |
| Practice Fax Number | 3172950622 |
| Mailing Telephone | 3172950608 |
| Mailing Fax Number | 3172950622 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2014-12-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
01040728 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100357530 | 05 |
| 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 |
| 1225390768 | Mary A Rouse | Specialist | 18 Broad St, Johnson City, NY 13790-2106 | 2012-06-11 |
| 1831146935 | Mary Evelyn Rouse | Registered Nurse | 9055 Shady Grove Ct, Gaithersburg, MD 20877-1301 | 2006-05-27 |
| Street Address |
6640 INTECH BLVD SUITE 195 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46278-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467410118 | Natalie Denise Cumberlander Zolicoffer | Psychologist | 6640 Intech Blvd, Ste 195, Indianapolis, IN 46278-2011 | 2006-05-03 |
| 1184015141 | Amanda E Garant | Dietitian, Registered | 6640 Intech Blvd, Ste 195, Indianapolis, IN 46278-2011 | 2015-02-12 |
| 1285025163 | Heather A Hammons | Dietitian, Registered | 6640 Intech Blvd, Ste 195, Indianapolis, IN 46278-2011 | 2015-02-12 |
| 1750625372 | Michelle L Mannia | Counselor | 6640 Intech Blvd, Ste 195, Indianapolis, IN 46278-2011 | 2012-11-20 |
| 1912286014 | Janice H Wahman | Counselor | 6640 Intech Blvd, Ste 195, Indianapolis, IN 46278-2011 | 2011-08-08 |
| 1821395088 | Kate Elizabeth Fisch | Social Worker | 6640 Intech Blvd, Ste 195, Indianapolis, IN 46278-2011 | 2011-02-23 |
| 1851696652 | Danielle A Patterson | Counselor | 6640 Intech Blvd, Ste 195, Indianapolis, IN 46278-2011 | 2011-01-26 |
| 1962703603 | Janelle L Floyd | Social Worker | 6640 Intech Blvd, Ste 195, Indianapolis, IN 46278-2011 | 2010-11-11 |
| 1790097467 | Elizabeth J Hyatt | Counselor | 6640 Intech Blvd, Ste 195, Indianapolis, IN 46278-2011 | 2010-07-09 |
| 1891006326 | Valerie A Voland | Social Worker | 6640 Intech Blvd, Ste 195, Indianapolis, IN 46278-2011 | 2010-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982156196 | Ayushi Sharma | Physical Therapy Assistant | 7345 Woodland Drive, Suite B, Indianapolis, IN 46278 | 2016-11-04 |
| 1518411123 | Maricar Maria Veluz | Physical Therapist | 5980 West 71st Street, Suite 102, Indianapolis, IN 46278 | 2016-08-11 |
| 1447514682 | Sean Russell Dillon | Family Medicine | 7439 Woodland Dr Ste 105, Indianapolis, IN 46278 | 2012-07-03 |
| 1154605137 | Lisa Marie Louks | Pharmacist | 6820 Shanghai Circle, Indianapolis, IN 46278 | 2011-10-07 |
| 1750689402 | Sizewise Rentals LLC | Durable Medical Equipment & Medical Supplies | 5807 W 73rd St, Indianapolis, IN 46278 | 2011-03-04 |
| 1083863013 | Concentra Health Services, Inc. | Clinic/Center | 5604 W. 74th Street, Indianapolis, IN 46278 | 2008-09-15 |
| 1770779001 | Elite Chiropractic & Wellness, Inc | Chiropractor | 5650 West 86th Street, Suite 128, Indianapolis, IN 46278 | 2007-09-20 |
| 1073734737 | Sochiele Atienza | Contractor | 5980 W. 71st Street, Suite 201, Indianapolis, IN 46278 | 2007-05-01 |
| 1417034422 | Julie Daftari | Family Medicine | 7440 Woodland Drive, Indianapolis, IN 46278 | 2006-11-01 |
| 1437146594 | Kci Usa Inc. | Durable Medical Equipment & Medical Supplies | 7015 Corporate Cir, Suite 7015, Indianapolis, IN 46278 | 2005-10-04 |
| Find all providers in zip 46278 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285168914 | Lauren Arnold Bell | Pediatrics | 410 W 10th St Ste 1001, Indianapolis, IN 46202-3011 | 2017-04-19 |
| 1699946046 | John T Young, Md | Pediatrics | 3231 N Meridian St, Suite 200, Indianapolis, IN 46208-5848 | 2008-03-13 |
| 1356537351 | Rebekah Lee Williams | Pediatrics | 705 Riley Hospital Dr, Attn: Adolescent Medicine, Indianapolis, IN 46202-5109 | 2007-09-24 |
| 1114122017 | Cynthia Lynn Robbins | Pediatrics | 705 Riley Hospital Dr, Msa 2, Indianapolis, IN 46202-5109 | 2007-06-19 |
| 1639372170 | Laura M. Kester | Pediatrics | 410 W 10th St, Hs 1001, Indianapolis, IN 46202-3010 | 2007-06-11 |
| 1487787354 | Step By Step Pediatrics, LLC | Pediatrics | 6920 Parkdale Pl, Suite 109, Indianapolis, IN 46254-5612 | 2007-03-13 |
| 1720173156 | Philomena Jacintha Dias | Pediatrics | 3838 N. Rural, Indianapolis, IN 46205-2930 | 2006-10-03 |
| 1194837575 | Krista I Santos | Pediatrics | 6920 Parkdale Place, Suite 109, Indianapolis, IN 46254 | 2006-08-31 |
| 1366489734 | Anne J Stump | Pediatrics | 6920 Parkdale Pl, Ste 109, Indianapolis, IN 46254-9998 | 2006-06-02 |
| 1457308041 | Rachel A Katzenellenbogen | Pediatrics | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2006-05-28 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46278 |
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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.