KEITH A ROUSE (NPI# 1558374124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558374124 |
Entity Type | Individual |
Full Name | KEITH A ROUSE |
Credential | DPM |
Practice Address |
310 Eisenhower Dr Bldg 7 Savannah GA 31406-2632 |
Mailing Address |
310 Eisenhower Dr Bldg 7a Savannah GA 31406-2632 |
Practice Telephone | 9123556503 |
Practice Fax Number | 9123559837 |
Mailing Telephone | 9123556503 |
Mailing Fax Number | 9123559837 |
Enumeration Date | 2006-08-14 |
Last Update Date | 2017-01-16 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
885 | GA | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 000880514A | 05 |
Street Address |
310 EISENHOWER DR BLDG 7 |
City | SAVANNAH |
State | GA |
Zip Code | 31406-2632 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508864463 | Savannah Outpatient Foot and Ankle Surgery Center, LLC | Clinic/Center | 310 Eisenhower Dr, Suite 7b, Savannah, GA 31406-2632 | 2005-07-13 |
1760966295 | 310habershamdental LLC | Dentist | 310 Eisenhower Dr, Building 1, Savannah, GA 31406 | 2018-09-20 |
1649760687 | Rebekah Wooten | Dentist | 310 Eisenhower Dr, Savannah, GA 31406-2632 | 2018-05-15 |
1851796908 | Savannah F&a Asc LLC | Clinic/Center | 310 Eisenhower Dr, Building 7, Savannah, GA 31406-2632 | 2014-10-31 |
1871995779 | Sandra L. Jones | Nurse Practitioner | 310 Eisenhower Dr, Bldg 16, Savannah, GA 31406-2632 | 2014-09-23 |
1437495272 | National Disease Management Center, Inc | Internal Medicine | 310 Eisenhower Dr, Building # 5, Savannah, GA 31406-2632 | 2012-12-26 |
1578810495 | Millicent Treben Jones | Chiropractor | 310 Eisenhower Dr, Building 12 Suite C, Savannah, GA 31406-2632 | 2012-08-09 |
1891053393 | Integrated Medical Institute, LLC | Chiropractor | 310 Eisenhower Dr, Building 12 Suite C, Savannah, GA 31406-2632 | 2012-05-03 |
1972882900 | Pediatric Dentistry of Savannah, LLC | Dentist | 310 Eisenhower Dr, Building #6, Savannah, GA 31406-2632 | 2011-08-09 |
1629369947 | John Charles O'neill Iv | Dentist | 310 Eisenhower Dr, Suite #4, Savannah, GA 31406-2632 | 2011-04-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
Find all providers in zip 31406 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407207046 | Prianka Sharma | Podiatrist | 352 Commercial Drive, Savannah, GA 31406 | 2016-06-24 |
1407826845 | Brian Andrew Fallon | Podiatrist | 803 E. 68th Street, Savannah, GA 31405-4709 | 2006-01-26 |
1114906286 | Frederic C Spector | Podiatrist | 352 Commercial Dr, Savannah, GA 31406 | 2006-01-17 |
1578003810 | Ankle and Foot Assoc, LLC | Podiatrist | 11706 Mercy Blvd, Plaza A Building 8, Savannah, GA 31419-1751 | 2017-03-06 |
1598159014 | Frederic C. Spector Dpm PC | Podiatrist | 352 Commercial Dr, Savannah, GA 31406-3616 | 2015-03-23 |
1881097798 | Bruce K.boyd Dpm | Podiatrist | 1950 Pickwick St, Savannah, TN 38372-5309 | 2014-10-06 |
1205123338 | Christin Jamie Runkel | Podiatrist | 803 E 68th St, Savannah, GA 31405-4709 | 2011-07-11 |
1063744761 | Daalia Melissa Jones | Podiatrist | 9104 Middleground Rd, Suite 2, Savannah, GA 31406-4319 | 2010-02-04 |
1780725127 | The Ga Foot and Ankle Inst PC | Podiatrist | 310 Eisenhower Dr, Bldg 7a, Savannah, GA 31406-2632 | 2007-02-09 |
1538225602 | Podiatry Associates, P.C. | Podiatrist | 817 E 66th St, Savannah, GA 31405-4507 | 2006-12-31 |
Find all providers in SAVANNAH |
Please comment or provide details below to improve the information on KEITH A ROUSE.
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.