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DR. GLENDON P ROUGEOU MD NPI 1992719371


NPI Information

NPI: 1992719371
Provider Name: DR. GLENDON P ROUGEOU, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1 CALIFORNIA ST STE 2300
SAN FRANCISCO, CA
ZIP 94111
Phone: (415) 504-3838
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DR. Glendon P Rougeou, MD is a family medicine in San Francisco, CA with 20 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Glendon P Rougeou, MD NPI is 1992719371. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduation Year:2004

The provider's business location address is:

1 CALIFORNIA ST STE 2300
SAN FRANCISCO, CA
ZIP 94111-424
Phone: (415) 504-3838
Fax: (415) 504-1367

The NPI 1992719371 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 7/28/2006 and was last updated on 10/31/2022.


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
1207Q00000XFamily Medicine036159042ILLINOISNo
2207Q00000XFamily MedicineMD61258786WASHINGTONNo
3207Q00000XFamily MedicineT6468TEXASNo
4207Q00000XFamily MedicineMD-49368IOWANo
5207Q00000XFamily Medicine65671ARIZONANo
6207Q00000XFamily Medicine070764GEORGIAYes
7207Q00000XFamily Medicine52347KENTUCKYNo
8207Q00000XFamily Medicine87337SOUTH CAROLINANo
9207Q00000XFamily Medicine329649LOUISIANANo
10207Q00000XFamily MedicineME138774FLORIDANo
11207Q00000XFamily Medicine21854NEVADANo
12207Q00000XFamily MedicineDR.0060480COLORADONo
13207Q00000XFamily MedicineMD466294PENNSYLVANIANo
14207Q00000XFamily Medicine62246CONNECTICUTNo
15207Q00000XFamily Medicine58719TENNESSEENo

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
15907241MEDICAIDNORTH CAROLINA

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

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.