DR. CHARLES JASON ROUSSEAU (NPI# 1982803144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982803144 |
| Entity Type | Individual |
| Full Name | DR. CHARLES JASON ROUSSEAU |
| Credential | D.O. |
| Practice Address |
225 E Wood St Spartanburg SC 29303-3050 |
| Mailing Address |
Po Box 743070 Atlanta GA 30374-3070 |
| Practice Telephone | 8645834420 |
| Practice Fax Number | 8645421045 |
| Mailing Telephone | 8645604304 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2019-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 853 | SC | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 853 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 008538 | 05 | |
| SC | RAILROAD MEDICARE | P00993575 | 01 |
| NC | 5918608 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811163033 | Charles Morgan Rousseau | Dentist | 540 Hughes Rd, Ste 4, Madison, AL 35758 | 2008-05-07 |
| Street Address |
225 E WOOD ST |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29303-3050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609876374 | William Cuyler Calton Jr. | Surgery | 225 E Wood St, Spartanburg, SC 29303-3050 | 2005-07-26 |
| 1598132961 | Blaine David Buchanan | Physician Assistant | 225 E Wood St, Spartanburg, SC 29303-3050 | 2015-09-01 |
| 1316335854 | Becky Williams | Nurse Practitioner | 225 E Wood St, Spartanburg, SC 29303-3050 | 2015-01-07 |
| 1558764654 | Christy Flores I | Nurse Practitioner | 225 E Wood St, Spartanburg, SC 29303-3050 | 2014-10-02 |
| 1982023339 | Christopher James Edenfield | Physician Assistant | 225 E Wood St, Spartanburg, SC 29303 | 2014-04-14 |
| 1841587797 | Ronald Howard Figura | Surgery | 225 E Wood St, Spartanburg, SC 29303 | 2011-06-29 |
| 1255635389 | Erica Rousseau Clark | Surgery | 225 E Wood St, Spartanburg, SC 29303-3050 | 2011-01-04 |
| 1124330014 | Susan Grizzard Peterson | Nurse Practitioner | 225 E Wood St, Spartanburg, SC 29303-3050 | 2010-07-08 |
| 1356537161 | Phillip Brent Reustle | Physician Assistant | 225 E Wood St, Spartanburg, SC 29303-3050 | 2007-09-15 |
| 1730219205 | Scott Marion Hovis | Surgery | 225 E Wood St, Suite G, Spartanburg, SC 29303-3050 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013532126 | Adam Joseph Fulcher | Family Medicine | Center for Family Medicine, 853 N. Church Street, Suite 510, Spartanburg, SC 29303 | 2020-06-15 |
| 1275011652 | Tri-state Medical Supplies, North Grove | Durable Medical Equipment & Medical Supplies | 1330 Boiling Springs Rd Ste 2900, Spartanburg, SC 29303 | 2018-07-30 |
| 1992227151 | Roxanne Pope | Speech-Language Pathologist | 290 N Grove Medical Park Dr., Spartanburg, SC 29303 | 2017-07-10 |
| 1861934879 | Cortney Redmond Mckinney I | Counselor | 250 Dewey Sve., Spartanburg, SC 29303 | 2016-11-08 |
| 1578011474 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 269 North Grove Medical Drive, Spartanburg, SC 29303 | 2016-09-20 |
| 1023477536 | Whitney Brooke Terry | Physician Assistant | 391 Serpentine Dr Ste 250, Spartanburg, SC 29303 | 2016-02-12 |
| 1306244348 | Medcare Urgent Care Spartanburg, LLC | Clinic/Center | 301 E Wood Street, Spartanburg, SC 29303 | 2014-12-08 |
| 1508201393 | Tom Ju | Anesthesiology | 1330 Boiling Springs Rd Ste 2700, Spartanburg, SC 29303 | 2013-05-07 |
| 1295072312 | Marie O'dell | Registered Nurse | 7 698 Howard Street, Spartanburg School District, Spartanburg, SC 29303 | 2013-01-09 |
| 1518203330 | Sherard Hamilton Ansley | Speech-Language Pathologist | 698 Howard St., Spartanburg School District 7, Spartanburg, SC 29303 | 2012-12-26 |
| Find all providers in zip 29303 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043307887 | Spartanburg Medical Center | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 225 E Wood St, Spartanburg, SC 29303-3050 | 2006-10-05 |
| 1780653022 | Steven Anthony Leyland | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 225 E Wood St, Spartanburg, SC 29303-3050 | 2006-03-17 |
| 1831168079 | Carole Lynette Parrish | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 225 E Wood St, Spartanburg, SC 29303-3050 | 2006-03-17 |
| 1124097886 | Tuan Nmn Nguyenduy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 225 E Wood St, Spartanburg, SC 29303-3050 | 2006-03-15 |
| 1356310007 | Foothills Cardiothoracic, P.a. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 225 E Wood St, Spartanburg, SC 29303-3050 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607217 | Krishna Bhandari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Mcclennan Banks Drive, 2190-r, Msc 918, Charleston, SC 29425 | 2020-10-19 |
| 1255717245 | Beth Damato | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9313 Medical Plaza Dr Ste 304, Charleston, SC 29406-9197 | 2015-08-03 |
| 1235533530 | Bruce Agster | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1422 Hooper St, Daniel Island, SC 29492-8481 | 2014-10-15 |
| 1447501754 | Willamsburg Regional Hospital | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 500 Thurgood Marshall Hwy Ste G, Kingstree, SC 29556-4143 | 2012-09-26 |
| 1114216454 | Sanford Manning Zeigler | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 96 Jonathan Lucas St # 295, Charleston, SC 29425-2200 | 2011-04-06 |
| 1184930992 | Lowcountry Thoracic Surgery Associates Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1300 Hospital Dr Ste 360, Mount Pleasant, SC 29464-7776 | 2010-08-31 |
| 1629203187 | Roper Saint Francis Physicians Network | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8536 Palmetto Commerce Pkwy Ste 502, Ladson, SC 29456 | 2009-05-27 |
| 1255503884 | Robert John Mccardle Sr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 811 W Main Street, Lexington, SC 29169 | 2008-03-24 |
| 1235356320 | Morris H Drucker | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 67 Leamington Lane, Hilton Head Island, SC 29928-5150 | 2007-04-19 |
| 1518024868 | Palmetto Cardiovascular and Thoracic Assoc Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9231 Medical Plaza Dr Ste D, Charleston, SC 29406-9101 | 2007-01-03 |
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| City | SPARTANBURG |
| Zip Code | 29303 |
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| 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.