Rougeau Group P a

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

C00616 Issued in AR

Legal business name

ROUGEAU GROUP P A

Practice address

455 Hogan LN
Conway, AR 72034-8201

Phone

(501) 513-0799

NPI assigned

Oct 13, 2009

Organization subpart

No

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

Authorized official

Name

Clay H Rougeau, CRNANPI 1629065032

Title

Owner

Phone

(501) 428-8868

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clay Rougeau, CRNA

  • Anesthesiology Physician
  • Conway, AR
  • NPI 1629065032
  NPD (past) Authorized official

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1265767008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 COUNTRY CLUB RD",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720347273",
            "telephone_number": "501-428-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 HOGAN LN",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348201",
            "telephone_number": "501-513-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUGEAU GROUP P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "ROUGEAU",
        "authorized_official_first_name": "CLAY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-428-8868",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C00616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Elaine Ross
• Rex W Ross, MD
• Sharon M Ross, CCC-SLP
• Amir Rostampout, LAC
• Sydney Rotscheid
• Catherine Rougeau, CRNA
• Clay Rougeau, CRNA
• Emily Rougeau, APRN
• Veronica Rowe
• Micah Lynn Rowland, LPC

• Certified Registered Nurse Anesthetist in Conway, AR
• Providers in Conway, AR by specialty
• Certified Registered Nurse Anesthetist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.