SUSAN G ROUX (NPI# 1154330702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154330702 |
| Entity Type | Individual |
| Full Name | SUSAN G ROUX |
| Credential | M.D. |
| Practice Address |
One Hoag Drive Newport Beach CA 92663-4162 |
| Mailing Address |
Dept La 21555 Pasadena CA 91185-1555 |
| Practice Telephone | 9492638620 |
| Practice Fax Number | 9492631639 |
| Mailing Telephone | 9492638620 |
| Mailing Fax Number | 9492631639 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
G60193 | CA | Allopathic & Osteopathic Physicians |
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
G60193 | CA | Allopathic & Osteopathic Physicians |
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
G60193 | CA | Allopathic & Osteopathic Physicians |
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
G60193 | CA | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
G60193 | CA | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
G60193 | CA | Allopathic & Osteopathic Physicians |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
G60193 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | 00G601930 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366613309 | Susan Louise Roux | Nurse Practitioner | 4107 W Spruce St Ste 100, Tampa, FL 33607-2346 | 2008-03-18 |
| Street Address |
ONE HOAG DRIVE |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92663-4162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518966902 | Peggy Ann Pugh | Radiology | One Hoag Drive, Newport Beach, CA 92663-4162 | 2005-07-18 |
| 1689190233 | Rita M Weise | Nurse Practitioner | One Hoag Drive, Newport Beach, CA 92663 | 2017-08-16 |
| 1427443068 | Shane Alun James Lloyd | Radiology | One Hoag Drive, Cancer Center, Newport Beach, CA 92663-4162 | 2015-03-31 |
| 1871888610 | Stephen Shen, Md Inc | Internal Medicine | One Hoag Drive, Hoag Hospital, Newport Beach, CA 92663-4162 | 2011-06-09 |
| 1437456506 | Daniel Eun Ho Chun | Anesthesiology | One Hoag Drive, Department of Anesthesiology, Newport Beach, CA 92663-4162 | 2011-02-24 |
| 1609170513 | Luke F. Jenkins | Physician Assistant | One Hoag Drive, Newport Beach, CA 92663-4162 | 2011-01-06 |
| 1366694606 | Marnie Jo Kremer Prill | Radiology | One Hoag Drive, Newport Beach, CA 92663-4162 | 2008-10-17 |
| 1043480965 | Jennifer Marie Jones Overstreet | Radiology | One Hoag Drive, Hoag Memorial Hospital Presbyterian, Newport Beach, CA 92658 | 2008-03-06 |
| 1255520789 | Matthew L. Le Duc | Anesthesiology | One Hoag Drive, Department of Anesthesiology, Newport Beach, CA 92663-4162 | 2007-10-22 |
| 1629265129 | Benjamin Eric Conrad | Anesthesiology | One Hoag Drive, Department of Anesthesiology, Newport Beach, CA 92663-4162 | 2007-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851905483 | Oasis Anesthesia, Surgical and Medical Group, Inc | Anesthesiology | 496 Old Newpor Blvd., Suite 2, Newport Beach, CA 92663 | 2020-09-01 |
| 1699232801 | Megan Gregor | Surgery | One Hoag Dr., Bldg 41, Ste 122, Newport Beach, CA 92663 | 2019-02-24 |
| 1831621382 | Narges Maududi | Social Worker | 1965 Sherrington Place, K111, Newport Beach, CA 92663 | 2017-04-03 |
| 1225495153 | Mitchelle Giorgi | Physical Therapist | 351 Hospital Road, Suite 007, Newport Beach, CA 92663 | 2016-01-22 |
| 1043620057 | Leslie Mccormack | Speech-Language Pathologist | 270 Cagney Lane #101, Newport Beach, CA 92663 | 2014-04-29 |
| 1265867162 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 4504 Seashore Drive, Newport Beach, CA 92663 | 2013-09-10 |
| 1538504733 | Shawn Zardouz | Psychiatry & Neurology | 3900 W Coast Hwy Ste 390, Newport Beach, CA 92663 | 2013-05-02 |
| 1326330119 | Denise Fortenberry Fortenberry-gratias | Nurse Practitioner | 520 Superior Ave, Suite 350, Newport Beach, CA 92663 | 2011-05-11 |
| 1043500390 | Romit Kumar Kar | Pediatrics | 355 Placentia Ave Ste 301, Newport Beach, CA 92663 | 2011-04-07 |
| 1477858546 | Newport Neurohospitalists | Neurological Surgery | 510 Superior Ave Ste 280, Newport Beach, CA 92663 | 2011-01-20 |
| Find all providers in zip 92663 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952726879 | Solano Diagnostics Partners A Calif Limited Partnership | Radiology | 2625 San Marco, Newport Beach, CA 92660-3268 | 2014-02-28 |
| 1003077256 | Vinh Ngoc Nguyen | Radiology | 3300 W Coast Hwy Ste B, Newport Beach, CA 92663-4007 | 2008-06-20 |
| 1174726806 | Salma H. Mikhail | Radiology | 6804 W Oceanfront, Newport Beach, CA 92663-1722 | 2007-06-08 |
| 1285700062 | Michael A. Arata, M.d., Inc. | Radiology | 20162 Sw Birch St # 250, Newport Beach, CA 92660-0787 | 2006-11-26 |
| 1679591770 | Jeffrey Jay Weitz | Radiology | 19 Seabluff, Newport Beach, CA 92660-9103 | 2006-07-17 |
| 1780618959 | Stephen D Sholkoff | Radiology | 1324 Galaxy Dr, Newport Beach, CA 92660-4919 | 2006-07-11 |
| 1790725364 | Jason Y Liu | Radiology | 56 Linda Isle, Newport Beach, CA 92660-7207 | 2006-06-08 |
| 1235191966 | Garrett Graham Ward | Radiology | 755 Promontory Dr W, Newport Beach, CA 92660-7357 | 2006-04-06 |
| 1083695720 | Anthony Stauffer | Radiology | 3300 W Coast Hwy, Newport Beach, CA 92663-4007 | 2005-11-09 |
| 1134114663 | Mehdi Soleimanpour | Radiology | 401 Old Newport Blvd, Suite #201, Newport Beach, CA 92663-4291 | 2005-09-12 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92663 |
Please comment or provide details below to improve the information on SUSAN G ROUX.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.