ROBERT ROUSSEAU PHYSICIAN ASSISTANT NPI 1588285977

NPI Information

NPI: 1588285977
Provider Name: ROBERT ROUSSEAU, PHYSICIAN ASSISTANT
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
46 FAIRVIEW AVE
SKOWHEGAN, ME
ZIP 04976
Phone: (207) 474-5121
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Robert Rousseau, PHYSICIAN ASSISTANT is a medical physician assistant in Skowhegan, ME. Robert Rousseau, PHYSICIAN ASSISTANT NPI is 1588285977. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

46 FAIRVIEW AVE
SKOWHEGAN, ME
ZIP 04976-481
Phone: (207) 474-5121
Fax: (207) 474-3441

The NPI 1588285977 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/27/2020 and was last updated on 7/3/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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		PA2151	MAINE	No
2	390200000X	Student in an Organized Health Care Education/Training Program				No
3	363AM0700X	Physician Assistant	Medical	PA2151	MAINE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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