Stephen T. Roush, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1077 Issued in WV

Practice address

1500 Grand Central Ave Ste 108
Vienna, WV 26105-1079

Phone

(304) 893-9586

NPI assigned

Nov 2, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, WV2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

New Era Health Co PLLCGroup PAC ID 8729457643, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Era Health Co., PLLC

  • Chiropractor
  • Vienna, WV
  • NPI 1568173060
  Medicare reassignment Care Compare group NPD Authorized official
• Legacy Medical Centers LLC

  • Multi-Specialty Clinic/Center
  • MC Murray, PA
  • NPI 1013164623

  Chiropractor

  Medicare reassignment NPD

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1114495637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9240 EXPLORER DR STE 215",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809205006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 GRAND CENTRAL AVE STE 108",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261051079",
            "telephone_number": "304-893-9586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9240 Explorer Dr Ste 215",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809205006",
            "country_code": "US",
            "telephone_number": "719-473-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROUSH",
        "first_name": "STEPHEN",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-02",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0007919",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "1077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beck Ross
• James Monroe Ross II
• Kelli Ross
• Sheila Rother
• Eva Roton
• Samantha Rowe
• Kendra Rush
• Dasia Russell
• John Gage Ryder, MS, ATC
• Sara Sabo, DPT

• Chiropractor in Vienna, WV
• Providers in Vienna, WV by specialty
• Chiropractor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.