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ROUSSO FACIAL PLASTIC SURGERY CLINIC PC NPI 1225140627


NPI Information

NPI: 1225140627
Provider Name: ROUSSO FACIAL PLASTIC SURGERY CLINIC PC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 01D1083067

Address:
2700 HIGHWAY 280 S
SUITE 300 WEST
BIRMINGHAM, AL
ZIP 35223
Phone: (205) 930-9595
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ROUSSO FACIAL PLASTIC SURGERY CLINIC PC is a specialist in Birmingham, AL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ROUSSO FACIAL PLASTIC SURGERY CLINIC PC NPI is 1225140627. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2700 HIGHWAY 280 S
SUITE 300 WEST
BIRMINGHAM, AL
ZIP 35223-420
Phone: (205) 930-9595
Fax: (205) 802-7719

The provider's authorized official is Daniel E Rousso .
The authorized official title is Medical Director and has the following contact phone number (205) 930-9595.

The CLIA number assigned to this NPI record is 01D1083067 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist12459ALABAMAYes

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: 11/14/2023

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.