John R Roussel (NPI# 1659365658, PAC ID# 8628971066) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1659365658 |
| PAC ID by PECOS | 8628971066 |
| Professional Enrollment ID | I20070906000400 |
| Full Name | John R Roussel |
| Organization Legal Name | LOUISVILLE EYE ANESTHESIA LLC |
| Address |
1400 Poplar Level Rd Suite 1 Louisville KY 40217-1309 |
| Phone Number | 5026374800 |
| Gender | M |
| Credential | CNA |
| Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 6406116185 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180088 | NORTON HOSPITALS, INC |
| Address | Phone | Organization |
|---|---|---|
| 1400 Poplar Level Rd, Suite 1, Louisville, KY 40217-1309 | 5026374800 | LOUISVILLE EYE ANESTHESIA LLC |
| 200 E Chestnut St, Louisville, KY 40202-1831 | 5026292880 | UNIVERSAL ANESTHESIA SERVICES LLC |
| Organization Legal Name | LOUISVILLE EYE ANESTHESIA LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan J Kirkwood | Certified Registered Nurse Anesthetist (crna) | Louisville Eye Anesthesia LLC | 1400 Poplar Level Rd, Suite 1, Louisville, KY 40217-1309 |
| Amber R Fogarty | Certified Registered Nurse Anesthetist (crna) | Louisville Eye Anesthesia LLC | 1400 Poplar Level Rd, Suite 1, Louisville, KY 40217-1309 |
| Samantha Heavrin | Certified Registered Nurse Anesthetist (crna) | Louisville Eye Anesthesia LLC | 1400 Poplar Level Rd, Suite 1, Louisville, KY 40217-1309 |
| Street Address |
1400 POPLAR LEVEL RD SUITE 1 |
| City | LOUISVILLE |
| State | KY |
| Zip | 40217-1309 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan J Kirkwood | Certified Registered Nurse Anesthetist (crna) | Louisville Eye Anesthesia LLC | 1400 Poplar Level Rd, Suite 1, Louisville, KY 40217-1309 |
| Amber R Fogarty | Certified Registered Nurse Anesthetist (crna) | Louisville Eye Anesthesia LLC | 1400 Poplar Level Rd, Suite 1, Louisville, KY 40217-1309 |
| Samantha Heavrin | Certified Registered Nurse Anesthetist (crna) | Louisville Eye Anesthesia LLC | 1400 Poplar Level Rd, Suite 1, Louisville, KY 40217-1309 |
| Heather W Pennell | Certified Registered Nurse Anesthetist (crna) | Lec Ancillary Pllc | 1400 Poplar Level Rd, Suite 2, Louisville, KY 40217-1309 |
| Bessie J Christensen | Certified Registered Nurse Anesthetist (crna) | Lec Ancillary Pllc | 1400 Poplar Level Rd, Suite 2, Louisville, KY 40217-1309 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grite Brunker | Physical Therapy | Sn Kentuckiana Rehab LLC | 1227 Goss Ave, Louisville, KY 40217-1239 |
| Dwight Edward Lindsay | Allergy/immunology | Vaaca of Kentucky Psc | 1261 Goss Ave, Louisville, KY 40217-1239 |
| Amy Bontrager | Physical Therapy | Sn Kentuckiana Rehab LLC | 1227 Goss Ave, Louisville, KY 40217-1239 |
| Zachary Ruppert | Physical Therapy | Sn Kentuckiana Rehab LLC | 1227 Goss Ave, Louisville, KY 40217-1239 |
| Tim Nichol | Physical Therapy | Sn Kentuckiana Rehab LLC | 1227 Goss Ave, Louisville, KY 40217-1239 |
| Caroline Vaughn | Physical Therapy | Sn Kentuckiana Rehab LLC | 1227 Goss Ave, Louisville, KY 40217-1239 |
| Sarah B Murrow | Chiropractic | Germantown Chiropractic, Psc | 1100 Milton St, Louisville, KY 40217-1259 |
| Andrew Stone | Chiropractic | Germantown Chiropractic, Psc | 1100 Milton St, Louisville, KY 40217-1259 |
| Sam Young | Physical Therapy | Sn Kentuckiana Rehab LLC | 3 Audubon Plaza Dr, Suite 112, Louisville, KY 40217-1300 |
| Randall Joshua Campbell | Anesthesiology | Anesthesiology Consultants Enterprises, Pllc | 1 Audubon Plaza Dr, Louisville, KY 40217-1318 |
| Find all physicians in zip 40217 | |||
| City | LOUISVILLE |
| Zip Code | 40217 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | LOUISVILLE + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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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.