Rouse Family Medical Clinic PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C4405 Issued in AR

Legal business name

ROUSE FAMILY MEDICAL CLINIC PA

Practice address

1306 S Pleasant St
Springdale, AR 72764-6223

Phone

(479) 443-0500

Fax

(833) 449-3362

NPI assigned

Mar 12, 2007

Last updated

Feb 26, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cynthia Westacott

Title

Billing Manager

Phone

(479) 443-0500

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16989/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy Milner

  • Family Nurse Practitioner
  • Bentonville, AR
  • NPI 1629952569
  Medicare reassignment Care Compare group NPD
• Joe P Rouse, MD

  • Family Medicine Physician
  • Springdale, AR
  • NPI 1205943289
  Medicare reassignment Care Compare group NPD
• Corwin D Petty, MD

  • Family Medicine Physician
  • Rogers, AR
  • NPI 1295735959
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1275665523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 S PLEASANT ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727646223",
            "telephone_number": "479-443-0500",
            "fax_number": "833-449-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 S PLEASANT ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727646223",
            "telephone_number": "479-443-0500",
            "fax_number": "833-449-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUSE FAMILY MEDICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "WESTACOTT",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "479-443-0500"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "012083557",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE QC",
            "identifier": "122530000",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106345001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "126089002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kyle Ross, APRN
• Mona Ye Ross, M.A.,CCC-A
• Johanna Chloe Rostoni, LCSW
• Timothy Charles Rothrock, D.D.S., P.A.
• Lacey Roughton
• Joe P Rouse, MD
• Lauren Casey Routt, BCBA
• Emily Diana Rowland, PLMSW
• Twyla A Rownak, LPC, MFT
• Rpi Rehab Operations, LLC

• Family Medicine Physician in Springdale, AR
• Providers in Springdale, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.