Lennis Joseph Derouen, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

13520 Issued in MS

Practice address

979 Tommy Munro Dr
Biloxi, MS 39532-2133

Phone

(228) 388-0091

Fax

(228) 388-0094

NPI assigned

Jan 10, 2006

Last updated

Oct 4, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: lennis.derouen.1@24353.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medical Solutions of Ocean Springs

  • Clinic/Center
  • Biloxi, MS
  • NPI 1689088585
  NPD (past)
• Statcare PLLC

  • Clinic/Center
  • McComb, MS
  • NPI 1174579338

  Emergency Medicine

  NPD (past)
• Statcare PLLC

  dba STATCare Plus, Inc.

  • Family Medicine Physician
  • McComb, MS
  • NPI 1194026260
  NPD (past)

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1295714160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "979 TOMMY MUNRO DR",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322133",
            "telephone_number": "228-388-0091",
            "fax_number": "228-388-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 TOMMY MUNRO DR",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322133",
            "telephone_number": "228-388-0091",
            "fax_number": "228-388-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROUEN",
        "first_name": "LENNIS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "13520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Christian Del Rio, DNP, APRN-CNP
• David Paul Demasters, DO
• Denese H. Dapito
• Department of Veterans Affairs
• Dermatology Associates of South Ms PLLC
• Jeannette Dever
• Kelly Jean Dewey, D.O.
• Albert Diaz, M.D.
• Hebe Arroyo Diaz, M.D.
• Luis Michael Diaz, MD

• Emergency Medicine Physician in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Emergency Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.