STEPHANIE ROUSSEAU (NPI# 1578927133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578927133 |
| Entity Type | Individual |
| Full Name | STEPHANIE ROUSSEAU |
| Other Name | STEPHANIE C. SHAKR |
| Credential | D.O. |
| Practice Address |
1 Elliot Way Manchester NH 03103 |
| Mailing Address |
1 Elliot Way Manchester NH 03103-3502 |
| Practice Telephone | 6036632830 |
| Mailing Telephone | 6036632830 |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2019-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 19542 | NH | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 55 Lake Ave N, Worcester, MA 016550002 | 5083341000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710303508 | Stephanie Rousseau | Specialist/Technologist | 1700 Dogwood Mile St, Laurinburg, NC 28352-5521 | 2014-03-17 |
| Street Address |
1 ELLIOT WAY |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922006253 | Benjamin J Grudinskas Jr. | Anesthesiology | 1 Elliot Way, Manchester, NH 03103-3502 | 2005-07-11 |
| 1437766904 | Samantha Oslin | Nurse Practitioner | 1 Elliot Way, Manchester, NH 03103-3599 | 2020-09-28 |
| 1104439603 | Kerry Mcdonald | Nurse Practitioner | 1 Elliot Way, Manchester, NH 03103-3502 | 2020-08-25 |
| 1851912331 | Katrina M Sibley | Nurse Anesthetist, Certified Registered | 1 Elliot Way, Manchester, NH 03103-3502 | 2020-05-06 |
| 1346861895 | Rebecca Lauren Hicks | Registered Nurse | 1 Elliot Way, Manchester, NH 03103-3502 | 2020-05-06 |
| 1386270320 | Brooke E Kanehl | Registered Nurse | 1 Elliot Way, Manchester, NH 03103-3599 | 2020-03-22 |
| 1598306383 | Rachel Marie Baroody | Registered Nurse | 1 Elliot Way, Manchester, NH 03103-3502 | 2019-10-02 |
| 1407417355 | Oluwatoyin Oshin | Registered Nurse | 1 Elliot Way, Manchester, NH 03103-3502 | 2019-06-21 |
| 1316504103 | Diana Renee Tanner | Nurse Practitioner | 1 Elliot Way, Manchester, NH 03103-3502 | 2019-05-28 |
| 1376004622 | Courtney A O'connor | Registered Nurse | 1 Elliot Way, Manchester, NH 03103-3599 | 2019-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023583374 | Melissa K Bascom | Social Worker | C/o Care Coordination Department, 1 Elliot Way, Manchester, NH 03103 | 2018-10-12 |
| 1538650650 | Bluestone Healthcare Services L.L.C. | Physician Assistant | Bluestone Healthcare Services LLC 169 South River Rd, Bedford, NH 03103 | 2018-05-24 |
| 1538662424 | Minal Jamkhande | Pharmacist | 50 S Willow Street, Manchester, NH 03103 | 2018-03-16 |
| 1447776240 | Manchester Health Supplies | Durable Medical Equipment & Medical Supplies | 373 S Willow Street, #328, Manchester, NH 03103 | 2017-08-14 |
| 1184145898 | Susan E Herman | Physical Therapist | 3000 Goffs Falls Road Suite 101, Manchester, NH 03103 | 2017-07-03 |
| 1316476757 | Sara Rose Hanrahan | Occupational Therapist | 3000 Goffs Falls Road, Suite 101, Manchester, NH 03103 | 2017-06-08 |
| 1457802811 | Holly Ann Cekala | Counselor | 140 Central St, Manchester, NH 03103 | 2016-10-20 |
| 1114301249 | Families In Transition | Counselor | 282 Belmont St, Manchester, NH 03103 | 2015-07-18 |
| 1083092282 | Alexander Michael Jones | Family Medicine | 4 Elliot Way Ste 105, Manchester, NH 03103 | 2015-05-08 |
| 1518344100 | Janiris Ruth Matos | Dentist | 8 Vinton Street, Dental Clinic, Manchester, NH 03103 | 2015-05-03 |
| Find all providers in zip 03103 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225529621 | Hometown Family Medical | Emergency Medicine | 909 Hillsboro Blvd, Manchester, TN 37355-2025 | 2018-05-22 |
| 1902020936 | Jack E Simons | Emergency Medicine | 2 Lochhaven Ln, Manchester, MO 63021-8020 | 2007-04-12 |
| 1528148632 | Ronald Leon Williams | Emergency Medicine | 1611 Mcarthur St, Manchester, TN 37355-2532 | 2006-10-16 |
| 1538257076 | Ahmed El Gammal | Emergency Medicine | 509 Memorial Drive, Suite 2, Manchester, KY 40962-6195 | 2006-10-10 |
| 1780783308 | Brian Francis Miller | Emergency Medicine | 92 School St, Manchester, MA 01944-1139 | 2006-09-21 |
| 1790792141 | Neil Edward Christopher Jr. | Emergency Medicine | 1001 Mcarthur St, Manchester, TN 37355-2419 | 2006-08-01 |
| 1427097120 | Jeffrey L Newswanger | Emergency Medicine | 210 Marie Langdon Drive, Manchester, KY 40962-6388 | 2006-06-06 |
| 1881676856 | David G Florence | Emergency Medicine | 804 Keylon St, Manchester, TN 37355-2414 | 2005-11-16 |
| 1467433623 | Harry Albert Bartee Jr. | Emergency Medicine | 193 Relco Dr, Manchester, TN 37355-7386 | 2005-11-07 |
| 1285627935 | Elliot Professional Services | Emergency Medicine | 1070 Holt Ave, Unit 1, Suite 2200, Manchester, NH 03109-5603 | 2005-08-29 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03103 |
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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.