GLENN K ROUSSEAU (NPI# 1831163641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831163641 |
| Entity Type | Individual |
| Full Name | GLENN K ROUSSEAU |
| Credential | MD |
| Practice Address |
1600 Sw Archer Road Gainesville FL 32610-3003 |
| Mailing Address |
Po Box 918025 Orlando FL 32891-8025 |
| Practice Telephone | 3522650291 |
| Practice Fax Number | 3523387140 |
| Mailing Telephone | 3522650291 |
| Mailing Fax Number | 3523387140 |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2008-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME82748 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 262505900 | 05 |
| Street Address |
1600 SW ARCHER ROAD |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32610-3003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679032502 | Natalie Laine Rich | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Road, Gainesville, FL 32610 | 2019-03-19 |
| 1154895902 | Martha Susanne Sturm | Nurse Anesthetist, Certified Registered | 1600 Sw Archer Road, Gainesville, FL 32611-0001 | 2019-01-15 |
| 1972076073 | Christopher Ryan Buchanan | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Road, Gainesville, FL 32610 | 2019-01-10 |
| 1518452663 | Mohammed Mahmoud Abdelrahman Elzeneini | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Road, Gainesville, FL 32610 | 2018-06-29 |
| 1326536343 | Allison Chunwen Lure | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Road, Gainesville, FL 32611-0001 | 2018-04-25 |
| 1689170565 | Brandon Kenneth Janssen | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Road, Department of Medicine Housestaff Office, Gainesville, FL 32610 | 2018-04-01 |
| 1225539943 | Patrick Donald O'connor | Physical Therapist | 1600 Sw Archer Road, Rehab Services, Gainesville, FL 32610-3003 | 2018-02-27 |
| 1245767854 | Michael Ladna | Internal Medicine | 1600 Sw Archer Road, Suite 4102, Gainesville, FL 32610 | 2017-05-12 |
| 1902257025 | Elizabeth Kyung Chu | Internal Medicine | 1600 Sw Archer Road, 4th Floor, Gainesville, FL 32610 | 2016-06-29 |
| 1457715856 | Patrick Thomas Neilan | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Road, Suite 4102, Gainesville, FL 32610 | 2016-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440660 | Thy Cam Huynh | Occupational Therapist | 1549 Gale Lemerand Dr, Gainesville, FL 32610 | 2020-02-23 |
| 1093359226 | Lauren Anne Ruddocks | Dentist | University of Florida College of Dentistry, 1395 Center Drive, Gainesville, FL 32610 | 2019-10-31 |
| 1104310549 | Brandon Lucke-wold | Neurological Surgery | 1149 S Newell Dr Deapartment of Neurosurgery Bldg #59, Gainesville, FL 32610 | 2018-06-19 |
| 1619465754 | Carlos Eduardo Vervloet Sollero | Student in an Organized Health Care Education/Training Program | 1149 Newell Drive, University of Florida, Department of Neurology, Gainesville, FL 32610 | 2018-04-24 |
| 1811359151 | Ramsha A. Kudia | Internal Medicine | 1549 Gale Lemerand Drive, 3rd Floor, Gainesville, FL 32610 | 2016-03-25 |
| 1447619937 | Wajdi Mohammed | Dentist | 1395 Center Dr., D8-6, Gainesville, FL 32610 | 2016-02-12 |
| 1922484344 | Kavan Ashit Gandhi | Dentist | 1395 Center Drive D7-19, Gainesville, FL 32610 | 2015-08-07 |
| 1972981512 | David Shin | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Road, Fl 1, Rm 1097, Gainesville, FL 32610 | 2015-05-15 |
| 1669887485 | Alejandro Jose Delgado | Dentist | 1395 Center Drive, University of Florida, College of Dentistry, Gainsville, FL 32610 | 2014-07-01 |
| 1194167296 | Zain Shahid | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd # Ng-45, Gainesville, FL 32610 | 2013-07-18 |
| Find all providers in zip 32610 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124654405 | Summerlin Imaging Center LLC | Radiology | 7520 W University Ave Ste D, Gainesville, FL 32607-7612 | 2020-03-18 |
| 1801382023 | Urgent Radiology Pllc | Radiology | 3502 Nw 18th Ave, Gainesville, FL 32605-3670 | 2018-07-11 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| 1326496571 | Charles Walter Snyder | Radiology | 2568 Sw 50th Blvd, Gainesville, FL 32608-3977 | 2016-05-27 |
| 1770953572 | Jose Manuel Quintero | Radiology | 1371 Se 23rd Ave, Gainesville, FL 32641-8798 | 2015-10-06 |
| 1891180634 | Eric William Pepin | Radiology | University of Florida Com, Gainesville, FL 32610-1004 | 2015-03-30 |
| 1841525045 | Naeima Beseikri | Radiology | 5175 Glenstone Ct, Gainesville, GA 30504-9043 | 2009-10-06 |
| 1992965701 | Heather L Carpenter | Radiology | 4343 W Newberry Rd Ste 5, Gainesville, FL 32607-2824 | 2008-06-16 |
| 1417046863 | Timothy P. Boyett | Radiology | 3330 Sw 81st St, Gainesville, FL 32608-9502 | 2006-10-12 |
| 1356439541 | Jeffrey N Mcintire | Radiology | 1250 Jesse Jewell Pkwy Se Ste 500, Gainesville, GA 30501-3865 | 2006-10-11 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32610 |
Please comment or provide details below to improve the information on GLENN K ROUSSEAU.
| 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.