Thomas J Roussel (NPI# 1548354178, PAC ID# 0143213710) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1548354178 |
| PAC ID by PECOS | 0143213710 |
| Professional Enrollment ID | I20040623000767 |
| Full Name | Thomas J Roussel |
| Organization Legal Name | OREGON TRAIL EYE CENTER, PC |
| Address |
900 Lincoln Ave Grant NE 69140-3095 |
| Phone Number | 3083547200 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 9739163924 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 281355 | OGALLALA COMMUNITY HOSPITAL |
| 281356 | PERKINS COUNTY HEALTH SERVICES |
| 531302 | MEMORIAL HOSPITAL OF CONVERSE COUNTY |
| 280061 | REGIONAL WEST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 111 S 5 St, Douglas, WY 82633-2434 | 3073582122 | OREGON TRAIL EYE CENTER, PC |
| 900 Lincoln Ave, Grant, NE 69140-3095 | 3083547200 | OREGON TRAIL EYE CENTER, PC |
| 2601 N Spruce St, Ogallala, NE 69153-2465 | 3082844011 | OREGON TRAIL EYE CENTER, PC |
| 329 W 40th St, Scottsbluff, NE 69361-4634 | 3086353911 | OREGON TRAIL EYE CENTER, PC |
| 201 14th St, Wheatland, WY 82201-3201 | 3073223636 | OREGON TRAIL EYE CENTER, PC |
| Organization Legal Name | OREGON TRAIL EYE CENTER, PC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keegan A Harkins | Ophthalmology | Oregon Trail Eye Center, PC | 329 W 40th St, Scottsbluff, NE 69361-4634 |
| Judson Martin | Ophthalmology | Oregon Trail Eye Center, PC | 510 N Green St, Valentine, NE 69201-1932 |
| Paul C Considine | Anesthesiology | Oregon Trail Eye Center, PC | 329 W 40th St, Scottsbluff, NE 69361-4634 |
| Brian Colburn | Optometry | Oregon Trail Eye Center, PC | 329 W 40th St, Scottsbluff, NE 69361-4634 |
| Shawna R Collier | Ophthalmology | Oregon Trail Eye Center, PC | 329 W 40th St, Scottsbluff, NE 69361-4634 |
| Street Address |
900 LINCOLN AVE |
| City | GRANT |
| State | NE |
| Zip | 69140-3095 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric Verploeg | Orthopedic Surgery | Perkins County Hospital District | 900 Lincoln Ave, Grant, NE 69140-3128 |
| Bradley A Wiesner | Certified Registered Nurse Anesthetist (crna) | Perkins County Hospital District | 900 Lincoln Ave, Grant, NE 69140-3128 |
| Pamela L Murphy | Certified Registered Nurse Anesthetist (crna) | Perkins County Hospital District | 900 Lincoln Ave, Grant, NE 69140-3128 |
| Shane B Banks | General Surgery | Perkins County Hospital District | 900 Lincoln Ave, Grant, NE 69140-3128 |
| Rebecca Beardsley | Clinical Psychologist | Meditelecare of Nebraska, LLC | 900 Lincoln Ave, Grant, NE 69140-3095 |
| Grant Newbold | Clinical Psychologist | Meditelecare of Nebraska, LLC | 900 Lincoln Ave, Grant, NE 69140-3095 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clifford R Colglazier | Family Medicine | 945 Washington Ave, Grant, NE 69140-3044 | |
| Ruth A Demmel | Family Practice | 945 Washington Ave, Grant, NE 69140-3044 | |
| Julia Bernadine Trevino-emerson | Family Medicine | Perkins County Hospital District | 912 Central Ave, Grant, NE 69140-3099 |
| Angela M Patrick | Nurse Practitioner | Perkins County Hospital District | 912 Central Ave, Grant, NE 69140-3099 |
| Kristi S Kohl | Family Medicine | Perkins County Hospital District | 912 Central Ave, Grant, NE 69140-3099 |
| Carol Sharee Cornelius | Physician Assistant | Perkins County Hospital District | 912 Central Ave, Grant, NE 69140-3099 |
| John M Byrd | Family Medicine | Perkins County Hospital District | 912 Central Ave, Grant, NE 69140-3099 |
| Marilyn K Mcdaniel | Nurse Practitioner | Perkins County Hospital District | 912 Central Ave, Grant, NE 69140-3099 |
| Traci E Draucker | Physician Assistant | Perkins County Hospital District | 912 Central Ave, Grant, NE 69140-3099 |
| Victoria A Gengenbach | Optometry | First Insight Eyecare LLC | 115 W 3rd St, Grant, NE 69140-3107 |
| Find all physicians in zip 69140 | |||
| City | GRANT |
| Zip Code | 69140 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | GRANT + OPHTHALMOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.