MICHAEL B ROUSSEAU (NPI# 1851328660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851328660 |
Entity Type | Individual |
Full Name | MICHAEL B ROUSSEAU |
Credential | MD |
Practice Address |
4360 Ferguson Dr Ste 100 Cincinnati OH 45245-1683 |
Mailing Address |
2000 Joseph E Sanker Blvd Cincinnati OH 45212-1979 |
Practice Telephone | 5138417750 |
Practice Fax Number | 5138417751 |
Mailing Telephone | 5138417400 |
Mailing Fax Number | 5138417402 |
Enumeration Date | 2006-06-27 |
Last Update Date | 2020-02-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | 35-06-4460 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 64955214 | 05 | |
OH | 0901073 | 05 | |
OH | RAILROAD MEDICARE | 340011132 | 01 |
Street Address |
4360 FERGUSON DR STE 100 |
City | CINCINNATI |
State | OH |
Zip Code | 45245-1683 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114967973 | Philip J Buffington | Urology | 4360 Ferguson Dr Ste 100, Cincinnati, OH 45245-1683 | 2006-06-08 |
1770826695 | Paurush Babbar | Urology | 4360 Ferguson Dr Ste 100, Cincinnati, OH 45245-1683 | 2013-03-28 |
1104142389 | Brian Joseph Minnillo | Urology | 4360 Ferguson Dr Ste 100, Cincinnati, OH 45245-1683 | 2010-04-13 |
1801053483 | Aaron L Bey | Urology | 4360 Ferguson Dr Ste 100, Cincinnati, OH 45245-1683 | 2008-05-21 |
1285827972 | Tri State Urologic Services Psc Inc | Urology | 4360 Ferguson Dr Ste 100, Cincinnati, OH 45245-1683 | 2007-08-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437797792 | Nguyen Dentists of Eastgate, PC, Inc | Dentist | 880 Eastgate North Dr., Suite 101, Cincinnati, OH 45245 | 2019-12-18 |
1245871896 | Jacqueline Marie Dunker | Pharmacist | Walmart Pharmacy 1443, 4370 Eastgate Square Drive, Cincinnati, OH 45245 | 2019-10-04 |
1134785389 | Cei Physicians P.s.c., LLC | Clinic/Center | 601 Ivy Gateway, Suite 302, Cincinnati, OH 45245 | 2019-05-14 |
1225507551 | Imaging Support Services Inc | Clinic/Center | 4244 Aicholtz Road Suite D, Cincinnati, OH 45245 | 2018-11-15 |
1902387335 | Sarah Joy Martinez | Occupational Therapy Assistant | 4300 Glen Este-withamsville Rd, Cincinnati, OH 45245 | 2018-08-23 |
1376051979 | Starline Investments Inc | Ambulance | 3226 Omni Dr, Cincinnati, OH 45245 | 2018-01-17 |
1255842084 | Trilogy Healthcare of Clermont, LLC | Skilled Nursing Facility | 4300 Gleneste-withamsville Road, Cincinnati, OH 45245 | 2017-10-19 |
1467974303 | Christabel Ngwepegue Nyam | Licensed Practical Nurse | 4110 Long Acres Dr, Cincinnati, OH 45245 | 2017-07-12 |
1518493683 | Melody Sue King | Nursing Facility/Intermediate Care Facility | 822 Youngs Lane, Cincinnati, OH 45245 | 2017-05-10 |
1558715789 | Yael Joseph Garcia | Dentist | 880 Eastgate N Dr., Ste 101, Cincinnati, OH 45245 | 2016-04-13 |
Find all providers in zip 45245 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699237909 | Tri State Urologic Services Psc Inc | Urology | 2123 Auburn Ave Ste 434, Cincinnati, OH 45219-2906 | 2019-04-04 |
1073075578 | Tri State Urologic Services Psc Inc | Urology | 7529 State Rd Ste B, Cincinnati, OH 45255-6410 | 2019-04-03 |
1497199038 | Richard George Wendel | Urology | 6722 Hammerstone Way, Cincinnati, OH 45227 | 2013-04-25 |
1386953289 | Cincinnati Evaluation & Management Inc | Urology | 7691 Beechmont Ave, Cincinnati, OH 45255-4216 | 2010-09-27 |
1316182157 | Cambridge Medical of Cleveland, LLC | Urology | 11427 Reed Hartman Hwy # 218, Cincinnati, OH 45241-2418 | 2008-12-09 |
1053337691 | Emmett E O'neal Md PC | Urology | 3009 Clifton Ave, Cincinnati, OH 45220-2403 | 2006-07-15 |
1821030925 | David R Aronoff | Urology | 7895 Willowridge Ln, Cincinnati, OH 45237-1811 | 2006-06-12 |
1700828449 | Joseph A Creevy | Urology | 4700 Smith Rd, Suite L, Cincinnati, OH 45212-2787 | 2006-06-10 |
1114967973 | Philip J Buffington | Urology | 4360 Ferguson Dr Ste 100, Cincinnati, OH 45245-1683 | 2006-06-08 |
1982043089 | Martin Daniel Fritzhand | Urology | 2825 Burnet Ave, Cincinnati, OH 45219-2426 | 2013-06-21 |
Find all providers in CINCINNATI |
City | CINCINNATI |
Zip Code | 45245 |
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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.