Stacey Stokes Roussell in Louisville - Adolescent Medicine
Stacey Stokes Roussell - NPI 1770629099
Stacey Stokes Roussell is a Adolescent Medicine in Louisville, Kentucky. Stacey Stokes Roussell practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Stacey Stokes Roussell is 1770629099. The last update date is 2021-01-21.
Stacey Stokes Roussell's current location address is 4010 Dupont Cir, Louisville, Kentucky. You can contact this provider via phone number 5028971727 and fax number 5028950827. The mailing address for Stacey Stokes Roussell is 4010 Dupont Cir, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey Stokes Roussell |
|---|---|
| Address | 4010 Dupont Cir, Louisville, Kentucky |
| Phone Number | 5028971727 |
| Fax Number | 5028950827 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1770629099 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2021-01-21 |
Provider Mailing Address Detail
| Address | 4010 Dupont Cir |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 4020748120 |
| Phone Number | 5028971727 |
| Fax Number | 5028950827 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 35005 |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200556 | KY | ANTHEM | |
| 611356201 | KY | TAX ID | |
| 64035678 | KY | -- | |
| 50035679 | KY | PASSPORT - KCMA | |
| 129357 | KY | SIHO - KCMA | |
| 739400 | KY | ANTHEM - KCMA | |
| 200556 | KY | PASSPORT HEALTH PLAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Stacey Stokes Roussell by the Centers for Medicare & Medicaid Services?
The Stacey Stokes Roussell has been assigned the NPI (National Provider Identifier) 1770629099 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Stacey Stokes Roussell is located?
The Stacey Stokes Roussell is situated at the following address: 4010 Dupont Cir, Louisville, KY, 4020748120.
What is Stacey Stokes Roussell's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Stacey Stokes Roussell is Adolescent Medicine, and the taxonomy code that classifies this field of practice is 2080A0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1770629099 to Stacey Stokes Roussell?
The Centers for Medicare & Medicaid Services originally issued the 1770629099 to Stacey Stokes Roussell on 2007-01-30.
When was the information pertaining to Stacey Stokes Roussell most recently updated or revised?
The details related to Stacey Stokes Roussell, including its address, specialty, and other relevant information, were last updated or revised on 2021-01-21.