Rouba Ghoussoub MD LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

ROUBA GHOUSSOUB MD LLC

Practice address

1400 US Highway 61
G30
Festus, MO 63028-4100

Phone

(636) 931-7770

Fax

(636) 931-7671

NPI assigned

Mar 3, 2015

Last updated

Apr 23, 2015By 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

Rouba Ghoussoub, M.D.

Title

Owner

Phone

(636) 931-7770

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Anahit Singh Cheema, M.D.

  • Nephrology Physician
  • Saint Louis, MO
  • NPI 1154577120
  NPD (past)
• Inderjit Singh, MD

  • Nephrology Physician
  • Saint Louis, MO
  • NPI 1609842434
  NPD (past)

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1417349234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1449",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630430449",
            "telephone_number": "314-432-2580",
            "fax_number": "314-432-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 US HIGHWAY 61",
            "address_2": "G30",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284100",
            "telephone_number": "636-931-7770",
            "fax_number": "636-931-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUBA GHOUSSOUB MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-03",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "GHOUSSOUB",
        "authorized_official_first_name": "ROUBA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-931-7770",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417349234",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin C Robarge, PTA
• Robert Tilley MD LLC
• Rena Robinson
• Pamela Rose
• Mikayla Danielle Roth, CCC-SLP
• Bassam A. Roukoz, M.D.
• Rebecca Lea Roux, M.A., CCC-SLP
• Craig Richard Ruble, M.D.
• Lawrence Andrew Rudolf, MD
• Daniel Gerrit Rudolph, MD

• Nephrology Physician in Festus, MO
• Providers in Festus, MO by specialty
• Nephrology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; 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.