DENISE L ROUSH


Address: 333 Smith Ave N, Saint Paul, MN 55102-2344
Phone: 6512418000

DENISE L ROUSH (NPI# 1811095698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811095698
Entity Type Individual
Full Name DENISE L ROUSH
Credential PA-C
Practice Address 333 Smith Ave N
Saint Paul
MN 55102-2344
Mailing Address 342 13th Ave Ne
Minneapolis
MN 55413-1265
Practice Telephone 6512418000
Mailing Telephone 6515889411
Enumeration Date 2006-09-20
Last Update Date 2015-04-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 10814 MN Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant PA-890 ME Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
ME 432142899 05

Office Location

Street Address 333 SMITH AVE N
City SAINT PAUL
State MN
Zip Code 55102-2344

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316930456 Jorge Antonio Ferreiro Pathology 333 Smith Ave N, Saint Paul, MN 55102-2344 2005-08-24
1487278214 Rachel Rubatt Dietitian, Registered 333 Smith Ave N, Saint Paul, MN 55102-2344 2020-06-08
1831712439 Anna Dittmann Registered Nurse 333 Smith Ave N, Saint Paul, MN 55102-2344 2020-05-19
1710508270 Lisa Anne Paradiso Dietitian, Registered 333 Smith Ave N, Saint Paul, MN 55102-2344 2020-05-06
1467073718 Michelle Schierts Speech-Language Pathologist 333 Smith Ave N, Saint Paul, MN 55102-2344 2020-04-28
1629607254 Salvum Anesthesia Nurse Anesthetist, Certified Registered 333 Smith Ave N, Saint Paul, MN 55102-2344 2020-04-06
1316575137 Michelle Bencriscutto-synstelien Registered Nurse 333 Smith Ave N, Saint Paul, MN 55102-2344 2020-03-28
1235765611 Lexi Mae Ternes Registered Nurse 333 Smith Ave N, Saint Paul, MN 55102-2344 2020-03-18
1154954717 Jenna Marie Benzinger Tabet Registered Nurse 333 Smith Ave N, Saint Paul, MN 55102-2344 2020-02-21
1932732252 Brian Charles Nye Nurse Anesthetist, Certified Registered 333 Smith Ave N, Saint Paul, MN 55102-2344 2020-02-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720623366 Ning Wu Acupuncturist Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 2019-11-07
1730730615 Tianwei Guo Acupuncturist 613 Grand Avenue, Saint Paul, MN 55102 2019-09-23
1194374850 Justin Crawford Diehl Counselor 976 Juno Avenue, Saint Paul, MN 55102 2019-09-05
1699329169 Elisabeth Johanna Wurtmann Genetic Counselor, MS 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 2019-08-01
1265907083 Lillia Budd Nurse Practitioner 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 2018-10-08
1922505098 Women of Nations Substance Abuse Rehabilitation Facility 73 Leech Street, St. Paul, MN 55102 2018-04-06
1609371939 Courtney Marie Klinkhammer Student in an Organized Health Care Education/Training Program 1026 West Seventh Street, St. Paul, MN 55102 2018-03-28
1427429372 Compass Pathology and Consulting Clinical Medical Laboratory 360 Sherman St Suite 400b, St. Paul, MN 55102 2015-10-16
1639550494 Daniel Delapp Speech-Language Pathologist United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 2015-06-17
1124419940 Suzanne Carl Speech-Language Pathologist 360 Colborne Avenue, St. Paul, MN 55102 2015-02-16
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588265284 Foua Vang Physician Assistant 689 County Road D E Apt 302, Saint Paul, MN 55117-1263 2020-11-08
1679107841 Kelsey Locken Physician Assistant 2285 University Ave W Unit 161, Saint Paul, MN 55114-1645 2020-02-26
1497395719 Demitri Nichelle Gockel Physician Assistant 750 Otto Ave Unit 2242, Saint Paul, MN 55102-5042 2020-01-14
1245870203 Ashley Kay Warner Physician Assistant 640 Jackson St # 11102f, Saint Paul, MN 55101-2595 2020-01-07
1275171795 Keith Fertey Moy Physician Assistant 594 Montrose Ln, Saint Paul, MN 55116-1158 2019-12-16
1609417757 Mh 101, PC Physician Assistant 1999 Shepard Rd, Saint Paul, MN 55116-3210 2019-09-30
1760048946 Amity Alice Carlson Physician Assistant 1600 University Ave W Ste 205, Saint Paul, MN 55104-3825 2019-05-14
1740747872 Angela Marie Schlangen Physician Assistant 435 Phalen Blvd., Mail Stop 51103c, Saint Paul, MN 55130-5302 2019-02-25
1922590488 Diane Mcleod Physician Assistant Healthpartners Regions Specialty Clinics, 640 Jackson St - Mail Stop 11109e, Saint Paul, MN 55101 2018-05-31
1649720533 Jeffrey Charles Otis Physician Assistant 405 Nebraska Ave E, Saint Paul, MN 55130-3226 2016-10-04
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City SAINT PAUL
Zip Code 55102

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Dataset Information

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.

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