Marie Rousseau MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

81-303 Issued in NM

Legal business name

MARIE ROUSSEAU MD PC

Practice address

804 E Navajo St
Farmington, NM 87401-9119

Phone

(505) 327-5336

Fax

(505) 326-9120

NPI assigned

Aug 26, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marie Rousseau, MD

Title

Medical Doctor

Phone

(505) 327-5336

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1073829198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 E NAVAJO ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874019119",
            "telephone_number": "505-327-5336",
            "fax_number": "505-326-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 E NAVAJO ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874019119",
            "telephone_number": "505-327-5336",
            "fax_number": "505-326-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE ROUSSEAU MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-26",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "ROUSSEAU",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "505-327-5336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "81-303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09621",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean Madeleine Manz, LMFT
• Julius Nicholas Manz, DDS
• Mary E Maras, C.O.T.A.
• Marie Mares
• Janet L Margeson, CRNA
• Linda Markle, DMD
• Melissa Marquez Conklin, PA-C
• Jessica Fernanda Marquez Quintana, RDH
• Laura Marquez
• Maranda L Marquez

• Family Medicine Physician in Farmington, NM
• Providers in Farmington, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.