Keith A Rouse Sr. (NPI# 1558374124, PAC ID# 1759357767) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1558374124 |
| PAC ID by PECOS | 1759357767 |
| Professional Enrollment ID | I20120202000466 |
| Full Name | Keith A Rouse Sr. |
| Organization Legal Name | SJC MEDICAL GROUP, INC |
| Address |
310 Eisenhower Dr Bldg 7a Savannah GA 31406-2688 |
| Phone Number | 9123556503 |
| Gender | M |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 7719978105 |
| Number of Group Practice Members | 50 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110043 | ST JOSEPH'S HOSPITAL - SAVANNAH |
| 110024 | CANDLER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 310 Eisenhower Dr, Bldg 7a, Savannah, GA 31406-2688 | 9123556503 | SJC MEDICAL GROUP, INC |
| Organization Legal Name | SJC MEDICAL GROUP, INC |
| Physicians | 53 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harley Randall Hendrix | Family Medicine | Sjc Medical Group, Inc | 159 W Railroad St, Pembroke, GA 31321-0190 |
| Matthew G Marshall | Neurology | Sjc Medical Group, Inc | 410 Mall Blvd E, Savannah, GA 31406-4869 |
| Aaron Webb | Nurse Practitioner | Sjc Medical Group, Inc | 423 S Columbia Ave, Rincon, GA 31326-9080 |
| David Orlando Caraballo | Physician Assistant | Sjc Medical Group, Inc | 10 Oak Forest Rd C, Bluffton, SC 29910-4974 |
| Russell William Lake | Family Medicine | Sjc Medical Group, Inc | 105 Grand Central Blvd, Suite 107, Pooler, GA 31322-4148 |
| Jose M Rendon-garcia | Internal Medicine | Sjc Medical Group, Inc | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Marianne M Fleming | Internal Medicine | Sjc Medical Group, Inc | 836 E, 65th Suite 30, Savannah, GA 31405 |
| Richard J Barrett | Internal Medicine | Sjc Medical Group, Inc | 102 Bryan Woods Rd, Savannah, GA 31410-1225 |
| Frederic C Spector | Podiatry | Sjc Medical Group, Inc | 352 Commercial Dr, Savannah, GA 31406-3616 |
| Suzanne M Anderson | Internal Medicine | Sjc Medical Group, Inc | 602 E 72nd St, Savannah, GA 31405-4913 |
| Street Address |
310 EISENHOWER DR BLDG 7A |
| City | SAVANNAH |
| State | GA |
| Zip | 31406-2688 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth B Brennan | Physician Assistant | Low Country Dermatology LLC | 310 Eisenhower Dr, Bldg 12 Su Ite A, Savannah, GA 31406-2688 |
| Corinne M Howington | Dermatology | Low Country Dermatology LLC | 310 Eisenhower Dr, Bldg 12 Su Ite A, Savannah, GA 31406-2688 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert J Holick | Chiropractic | Holick Holistic Chiropratic Center | 102 Oglethorpe Professional Court, Suite 6, Savannah, GA 31406 |
| Mark E Domanski | Chiropractic | 320 E Montgomery Crossroads, Suite 30, Savannah, GA 31406 | |
| Monica R Kenney | Allergy/immunology | Coastal Allergy and Asthma PC | 1601 Fair Rd, Suite 600, Stateboro, GA 31406 |
| Colleen Holick | Chiropractic | Holick Holistic Chiropratic Center | 102 Oglethorpe Professional Court, Suite 6, Savannah, GA 31406 |
| Bruce Daniel Finkel | Allergy/immunology | Coastal Allergy and Asthma PC | 1601 Fair Rd, Suite 600, Stateboro, GA 31406 |
| Todd M Titus | Chiropractic | 7373 Hodgson Memorial Dr, Suite 6, Savannah, GA 31406-1503 | |
| Obaid Rehman | Pulmonary Disease | Southeast Lung and Critical Care Specialists, PC | 340 Hodgson Ct, Suite 2, Savannah, GA 31406-1523 |
| Athena J Fountain | Nurse Practitioner | Southeast Lung and Critical Care Specialists, PC | 340 Hodgson Ct, Savannah, GA 31406-1523 |
| Craig Anthony Schuring | Pulmonary Disease | Southeast Lung and Critical Care Specialists, PC | 340 Hodgson Ct, Suite 2, Savannah, GA 31406-1523 |
| Joshua T Bonin | Physician Assistant | Southeast Lung and Critical Care Specialists, PC | 340 Hodgson Ct, Savannah, GA 31406-1523 |
| Find all physicians in zip 31406 | |||
| City | SAVANNAH |
| Zip Code | 31406 |
| Specialty | PODIATRY |
| City + Specialty | SAVANNAH + PODIATRY |
Please comment or provide details below to improve the information on Keith A Rouse Sr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.