Jonathan Arlen Roundtree, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

020082 Issued in LA

Practice address

504 Mayflower St
Baton Rouge, LA 70802-6419

Phone

(225) 342-1320

NPI assigned

Mar 22, 2012

Last updated

Mar 22, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332374400000",
    "number": "1275808305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 JEFFERSON HWY. MILLENIUM APTS.TOWN CENTER",
            "address_2": "APT. # 5108",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708065108",
            "telephone_number": "225-276-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 MAYFLOWER ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708026419",
            "telephone_number": "225-342-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUNDTREE",
        "first_name": "JONATHAN",
        "middle_name": "ARLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "020082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miketreiana Rouchon
• Hannah Roudebush
• Corinne Kauffeld Rougeau, NP
• David Orlando Rougeau, LCSW
• Round Trips LLC
• Terry Ann Rouprich, L.C.S.W.
• Christopher Rouse, M.D.
• Meredith Pugh Rouse, MD
• Laricha Rousell-Alfred
• Dawn Rousell, LCSW

• Family Medicine Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.