Bobby Gale Rouse Sr. (NPI# 1144629072, PAC ID# 6305891797) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
| Nation Provider ID (NPI) | 1144629072 |
| PAC ID by PECOS | 6305891797 |
| Professional Enrollment ID | I20151119002126 |
| Full Name | Bobby Gale Rouse Sr. |
| Organization Legal Name | BETHESDA HEALTH SERVICES LLC |
| Address |
29 N Star Dr Suite D Jackson TN 38305-6657 |
| Phone Number | 7316647949 |
| Gender | M |
| Graduation Year | 1973 |
| Primary Specialty | CLINICAL PSYCHOLOGIST |
| Group Practice PAC ID | 8426377466 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 29 N Star Dr, Suite D, Jackson, TN 38305-6657 | 7316647949 | BETHESDA HEALTH SERVICES LLC |
| 29 N Star Dr, Jackson, TN 38305-6657 | 7316647949 | BETHESDA HEALTH SERVICES LLC |
| Organization Legal Name | BETHESDA HEALTH SERVICES LLC |
| Physicians | 1 |
| Street Address |
29 N STAR DR SUITE D |
| City | JACKSON |
| State | TN |
| Zip | 38305-6657 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Pickering | Psychologist, Clinical | 367 B N Pkwy, Suite 1, Jackson, TN 38305 | |
| Tammy M Griffis | Nurse Practitioner | Primary Care Clinic of Jackson | 1430 Union University Dr, Suite B, Jackson, TN 38305-0001 |
| Kathy M O'connor-wray | Nurse Practitioner | Primary Care Clinic of Jackson | 1430 Union University Dr, Suite B, Jackson, TN 38305-0001 |
| Rebecca Ann Hamilton | Nurse Practitioner | Northside Medical Clinic, P.C. | 31 Hughes Dr, Jackson, TN 38305-1505 |
| Elizabeth S Londino | Family Medicine | Northside Medical Clinic, P.C. | 31 Hughes Dr, Jackson, TN 38305-1505 |
| Marion J Scott | Nurse Practitioner | Northside Medical Clinic, P.C. | 31 Hughes Dr, Jackson, TN 38305-1505 |
| Timothy W Hayden | Family Medicine | Northside Medical Clinic, P.C. | 31 Hughes Dr, Jackson, TN 38305-1505 |
| Diane H Wright | Clinical Social Worker | Starting Place LLC | 180 W University Pkwy H, Jackson, TN 38305-1612 |
| Richard Murphy Spring | Psychologist, Clinical | 156 W University Pkwy, Suite B, Jackson, TN 38305-1617 | |
| Steven Anthony Sopcak | Chiropractic | 156 W University Pkwy, Suite A, Jackson, TN 38305-1617 | |
| Find all physicians in zip 38305 | |||
| City | JACKSON |
| Zip Code | 38305 |
| Specialty | CLINICAL PSYCHOLOGIST |
| City + Specialty | JACKSON + CLINICAL PSYCHOLOGIST |
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| 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.