Active NPI
Therese Rouse, D.O.
- Family Medicine Physician
- Greenville, MI
National Provider Identifier
1356306278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101008979
- Practice address
- 1915 W Washington St
Greenville, MI 48838-8279 - Phone
- (616) 252-5942
- Fax
- (616) 252-5948
- NPI assigned
- Apr 20, 2006
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101008979 | MI | Primary |
Addresses
Primary practice location
1915 W Washington St
Greenville, MI 48838-8279
Mailing address
5900 Byron Center Ave SW
Medical Administration
Wyoming, MI 49519-9606
Phone (616) 252-3243
Other practice location 1
4685 Belding Rd NE
Rockford, MI 49341-9605
Phone (616) 252-3100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennant Physician Services | Past | Accepting new patients |
Interoperability endpoints
- therese.rouse.1@16329.direct.athenahealth.com
Organizations & group practices 2
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.
-
dba Hospice of Holland Home and Faith Hospice at Trillium Woods
- Community Based Hospice Care Agency
- Byron Center, MI
- NPI 1790739282
-
- Pediatric Cardiology Physician
- Grand Rapids, MI
- NPI 1245572007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1356306278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 BYRON CENTER AVE SW",
"address_2": "MEDICAL ADMINISTRATION",
"city": "WYOMING",
"state": "MI",
"postal_code": "495199606",
"telephone_number": "616-252-3243",
"fax_number": "616-252-0260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 W WASHINGTON ST",
"city": "GREENVILLE",
"state": "MI",
"postal_code": "488388279",
"telephone_number": "616-252-5942",
"fax_number": "616-252-5948"
}
],
"practiceLocations": [
{
"address_1": "4685 Belding Rd NE",
"address_purpose": "LOCATION",
"city": "Rockford",
"state": "MI",
"postal_code": "493419605",
"country_code": "US",
"telephone_number": "616-252-3100",
"fax_number": "616-252-3120",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROUSE",
"first_name": "THERESE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-20",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101008979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.