Stephen M Rouse, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

025898 Issued in CT

Practice address

36 Watson St
Willimantic, CT 06226-2122

Phone

(860) 456-0287

Fax

(860) 456-3532

NPI assigned

Jun 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519257600000",
    "number": "1184650285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 WATSON ST",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262122",
            "telephone_number": "860-456-0287",
            "fax_number": "860-456-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 WATSON ST",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262122",
            "telephone_number": "860-456-0287",
            "fax_number": "860-456-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSE",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2018-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CT",
            "license": "025898",
            "primary": false
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "CT",
            "license": "025898",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CT",
            "license": "025898",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "CT",
            "license": "025898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001258987",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariceli Rojas-Perez, LMSW
• Mary A Romajas, LCSW
• Rafael Roman
• Donna Jean Romano, RPA-C
• Christine Louise Rosales, LCSW
• Tina L Royce
• Sydney Royer, PMHNP-BC
• Laura Nicole Sabourin, APRN
• Alexander Darius Salamatian, DPT, PT
• Mary K Salustri, LCSW

• Otolaryngology Physician in Willimantic, CT
• Providers in Willimantic, CT by specialty
• Otolaryngology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.