DR. JAMES GORDON ROUDEBUSH (NPI# 1649265216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649265216 |
| Entity Type | Individual |
| Full Name | DR. JAMES GORDON ROUDEBUSH |
| Credential | M.D. |
| Practice Address |
110 Luke Ave Suite 400 Bolling Air Force Base DC 20032-7050 |
| Mailing Address |
4778 Command Ln Andrews Air Force Base MD 20762-5568 |
| Practice Telephone | 2027674766 |
| Mailing Telephone | 3015990266 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
14432 | NE | Allopathic & Osteopathic Physicians |
| Street Address |
110 LUKE AVE SUITE 400 |
| City | BOLLING AIR FORCE BASE |
| State | DC |
| Zip Code | 20032-7050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437286200 | Scott E. Corcoran | Pharmacist | 110 Luke Ave, Room 400, Hq Usaf Sg8x, Bolling Air Force Base, DC 20032-7050 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753714 | Ebonie Hawkins | Counselor | 101 Xenia St Suite 200 Sw, Washington, DC 20032 | 2020-09-03 |
| 1639788938 | Richard Quinones | Technician | 4346 Livingston Rd Se, B, Washington, DC 20032 | 2020-07-23 |
| 1720603244 | Ankur Sah Swarnakar | Student in an Organized Health Care Education/Training Program | 1100 Alabama Ave Southeast, 2nd Floor, Suite 238, Washington, DC 20032 | 2020-06-10 |
| 1225659519 | Michael Thomas Moore | Counselor | 920 Belview St. Se, Washington, DC 20032 | 2020-04-28 |
| 1144878240 | Erika Kirkpatrick | Behavior Technician | 1218 Southern Ave Apt304 Se, Washgton Dc, DC 20032 | 2019-08-31 |
| 1982251351 | Agazit Asihel | Counselor | Friendship Charter School 645 Milwaukee Pl, Washington Dc, DC 20032 | 2019-08-21 |
| 1538715412 | Omonike Grace Adeosun | Home Health Aide | 2625 Martin Luther King Jr Ave Se, Apt 1, Washington, DC 20032 | 2019-08-15 |
| 1932753571 | Nadesh Mengwi Muluh | Home Health Aide | 2759 Martin Luther King Jr Avenue, Washington, DC 20032 | 2019-08-01 |
| 1376100115 | Kelsey Hobart | Student in an Organized Health Care Education/Training Program | Dc Dbh Seh Psych Residency 1100 Alabama Avenue, Se, Suite 238, Washington, DC 20032 | 2019-05-28 |
| 1407321417 | Abigail Christine Burke | Physical Therapist | 3146 Arnold Avenue Sw, Washington, DC 20032 | 2018-10-05 |
| Find all providers in zip 20032 | ||||
| Taxonomy Code | 2083A0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Aerospace Medicine |
| Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures. |
| 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 Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831271402 | Eugene Vincent Bonventre | Preventive Medicine | Pentagon Flight Medicine Clinic, 1760 Air Force Pentagon Room 4a674, Washington, DC 20330-1760 | 2006-10-20 |
| 1891767612 | Joseph D Piorkowski Jr. | Preventive Medicine | 910 17th St Nw, Suite 800, Washington, DC 20006-2601 | 2006-02-06 |
| 1487634333 | Dwight Cator Fulton | Preventive Medicine | 914 Charles Morris Court Se, Military Sealift Command, Washington Navy Yard, Washington, DC 20398-5540 | 2006-01-18 |
| 1417930017 | George Joseph Mckenna | Preventive Medicine | Veterans Affairs Medical Ctr, 50 Irving Street, N.w., Washington, DC 20422-0001 | 2005-11-28 |
| 1669460556 | George Peach Taylor Jr. | Preventive Medicine | Hq Usaf/sg, 1780 Air Force Pentagon, Washington, DC 20330-1780 | 2005-10-13 |
| 1962498956 | Philip Allan La Kier | Preventive Medicine | 110 Luke Ave Rm 405, Bolling Afb, DC 20032-6400 | 2005-09-25 |
| 1811981871 | Vincent Joel Michaud | Preventive Medicine | 300 E St Sw, Washington, DC 20546 | 2005-09-07 |
| 1841291937 | Mark Edward Mavity | Preventive Medicine | 11 Medical Group, 238 Brookley Avenue, Bolling Afb, DC 20332-0001 | 2005-08-10 |
| 1386876209 | Colleen A Annes | Preventive Medicine | Dilorenzo Tricare Health Clinic, 5801 Army Pentagon, Washington, DC 20310-0001 | 2009-08-11 |
| 1295714236 | Dana Thomas | Preventive Medicine | 2100 2nd St Sw, Cg-1133, Room 5308, Washington, DC 20593-0001 | 2006-01-10 |
| Find all providers with the same taxonomy | ||||
| City | BOLLING AIR FORCE BASE |
| Zip Code | 20032 |
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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.