MR. CRAIG DOUGLAS ROUBEN NPI 1043562267

NPI Information

NPI: 1043562267
Provider Name: MR. CRAIG DOUGLAS ROUBEN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
110 CHASE WAY STE 2
ELIZABETHTOWN, KY
ZIP 42701
Phone: (502) 212-0071
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MR. Craig Douglas Rouben is a family nurse practitioner in Elizabethtown, KY. MR. Craig Douglas Rouben NPI is 1043562267. 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:

110 CHASE WAY STE 2
ELIZABETHTOWN, KY
ZIP 42701-827
Phone: (502) 212-0071

The NPI 1043562267 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 10/11/2012 and was last updated on 2/22/2024.

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	363LF0000X	Nurse Practitioner	Family	3007663	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1087566	OTHER	KENTUCKY	STATE LICENSE
2	71004539A	OTHER	INDIANA	STATE LICENSE
3	IN3604006	OTHER	INDIANA	MEDICARE IN
4	201212500	MEDICAID	INDIANA

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: 5/5/2024

NPI Synchronization or Removal

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