Mary D Rouse in Indianapolis - Adolescent Medicine
Mary D Rouse - NPI 1578509345
Mary D Rouse is a Adolescent Medicine in Indianapolis, Indiana. Mary D Rouse practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Mary D Rouse is 1578509345. The last update date is 2014-12-01.
Mary D Rouse's current location address is 6640 Intech Blvd, Indianapolis, Indiana. You can contact this provider via phone number 3172950608 and fax number 3172950622. The mailing address for Mary D Rouse is 6640 Intech Blvd, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary D Rouse |
|---|---|
| Address | 6640 Intech Blvd, Indianapolis, Indiana |
| Phone Number | 3172950608 |
| Fax Number | 3172950622 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1578509345 |
|---|---|
| Provider Enumeration Date | 2006-06-21 |
| Last Updated Date | 2014-12-01 |
Provider Mailing Address Detail
| Address | 6640 Intech Blvd |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462782011 |
| Phone Number | 3172950608 |
| Fax Number | 3172950622 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 1040728 |
|
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 |
|---|---|---|---|
| 100357530 | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mary D Rouse by the Centers for Medicare & Medicaid Services (CMS)?
The Mary D Rouse has been assigned the NPI (National Provider Identifier) 1578509345. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Mary D Rouse's facilities are situated?
The facilities of Mary D Rouse are physically located at the following address: 6640 Intech Blvd, Indianapolis, IN, 462782011.
What is the Mary D Rouse's specialty and taxonomy code?
The Mary D Rouse's specialty is Adolescent Medicine, and the corresponding taxonomy code is 2080A0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1578509345 to Mary D Rouse?
The Mary D Rouse received its 1578509345 assignment from the Centers for Medicare & Medicaid Services on 2006-06-21.
As of what date were the Mary D Rouse's details last updated?
The information pertaining to the Mary D Rouse, including its address, specialty, and other details, was most recently updated on 2014-12-01.