CHERYL ROUSSAIN, PA - NPI NUMBER 1235343831

Summary

Provider Name: CHERYL ROUSSAIN, PA

NPI Number: 1235343831

Clasification: Physician Assistant (363A00000X)

Address:
10 TAKOTNA AVE
MCGRATH, AK
ZIP 99627

Phone Number: (907) 524-3299



Detailed Information

Cheryl Roussain, PA is a physician assistant in Mcgrath, AK. The provider is 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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. The assigned NPI number for this provider is 1235343831 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

10 TAKOTNA AVE
MCGRATH, AK
ZIP 99627
Phone: (907) 524-3299

The enumeration date for this NPI number is 5/10/2007 and was last updated on 7/8/2007.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 363A00000X Physician Assistant 249 AK Yes

NPI Record

No. Field Name Field Value
1 NPI 1235343831
2 Entity Type Code 1
3 Provider Last Name Legal Name ROUSSAIN
4 Provider First Name CHERYL
5 Provider Credential Text PA
6 Provider First Line Business Practice Location Address 10 TAKOTNA AVE
7 Provider Business Practice Location Address City Name MCGRATH
8 Provider Business Practice Location Address State Name AK
9 Provider Business Practice Location Address Postal Code 99627
10 Provider Business Practice Location Address Country Code If outside U S US
11 Provider Business Practice Location Address Telephone Number 9075243299
12 Provider Enumeration Date 5/10/2007
13 Last Update Date 7/8/2007
14 Provider Gender Code F
15 Healthcare Provider Taxonomy Code 1 363A00000X
16 Provider License Number 1 249
17 Provider License Number State Code 1 AK
18 Healthcare Provider Primary Taxonomy Switch 1 Y
19 Is Sole Proprietor N

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This page was last updated on: 7/15/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.