Jarrod D Roussel in St Augustine - Physician Assistant
Jarrod D Roussel - NPI 1538134721
Jarrod D Roussel is a Physician Assistant in St Augustine, Florida. Jarrod D Roussel practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jarrod D Roussel is 1538134721. The last update date is 2019-07-08.
Jarrod D Roussel's current location address is 1 Orthopaedic Pl, St Augustine, Florida. You can contact this provider via phone number 9048250540 and fax number 9048252490. The mailing address for Jarrod D Roussel is 1 Orthopaedic Pl, St Augustine, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jarrod D Roussel |
|---|---|
| Address | 1 Orthopaedic Pl, St Augustine, Florida |
| Phone Number | 9048250540 |
| Fax Number | 9048252490 |
| Sole Proprietor | N |
| Credentials | PA.-C |
NPI Number Detail
| NPI Number | 1538134721 |
|---|---|
| Provider Enumeration Date | 2006-02-21 |
| Last Updated Date | 2019-07-08 |
Provider Mailing Address Detail
| Address | 1 Orthopaedic Pl |
|---|---|
| City | St Augustine |
| State | Florida (FL) |
| Post Code | 320864202 |
| Phone Number | 9048250540 |
| Fax Number | 9048252490 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA0000001012 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3720420 | TN | MEDICARE | |
| KN153 | FL | MEDICARE |
Post Comment/ Review Below
What is the Jarrod D Roussel's 1538134721?
The Jarrod D Roussel's NPI (National Provider Identifier) Number is 1538134721. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jarrod D Roussel is physically located?
The Jarrod D Roussel is situated at the following address: 1 Orthopaedic Pl, St Augustine, FL 320864202.
What is Jarrod D Roussel's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jarrod D Roussel is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date was the 1538134721 assigned to Jarrod D Roussel?
The Jarrod D Roussel was issued its 1538134721 on 2006-02-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Jarrod D Roussel last refreshed?
The information related to the Jarrod D Roussel, including its address, specialty, and other relevant details, was last updated on 2019-07-08.
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