Individual provider Active NPI

Lawrence D Rougeux, BS MA DC

  • Chiropractor
  • Erie, PA
National Provider Identifier
1215008685
Registry record updated Jul 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC003047L Issued in PA
Practice address
715 East 37TH St
Erie, PA 16504-1727
Phone
(814) 456-4200
Fax
(814) 456-4200
NPI assigned
Nov 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC003047L PA Primary

Addresses

Primary practice location

715 East 37TH St
Erie, PA 16504-1727

Mailing address

715 East 37TH St
Erie, PA 16504-1727
Phone (814) 456-4200

Other identifiers 2

IdentifierTypeStateIssuer
0010191140001MedicaidPA
341803OtherPAHIGHMARK BS BC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science, Master of Arts

State licenses

LicenseStateTypeSpecialty
DC003047LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pleasantview Chiropractic, LLC Chiropractor Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278288000000",
    "number": "1215008685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 EAST 37TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165041727",
            "telephone_number": "814-456-4200",
            "fax_number": "814-456-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 EAST 37TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165041727",
            "telephone_number": "814-456-4200",
            "fax_number": "814-456-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUGEUX",
        "first_name": "LAWRENCE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "BS MA DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2010-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC003047L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010191140001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS BC",
            "identifier": "341803",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.