Shannon Brown Routhouska, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

233098-01 Issued in NY

Practice address

220 Linden Oaks Ste 300
Rochester, NY 14625-2839

Phone

(585) 383-4420

Fax

(585) 383-4515

NPI assigned

Jun 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Barrington Park Dermatological Associates PCGroup PAC ID 4789772195, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rochester General Hospital Hospital, Rochester, NY, CCN 330125
• Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Barrington Park Dermatological Associates PC

  • Dermatology Physician
  • Rochester, NY
  • NPI 1245268275
  Medicare reassignment Care Compare group NPD
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• University of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1346285657
  Care Compare affiliation
• University of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1669126090
  Care Compare affiliation

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1720282163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 LINDEN OAKS STE 300",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252839",
            "telephone_number": "585-383-4420",
            "fax_number": "585-383-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 LINDEN OAKS STE 300",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252839",
            "telephone_number": "585-383-4420",
            "fax_number": "585-383-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUTHOUSKA",
        "first_name": "SHANNON",
        "middle_name": "BROWN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "233098-01",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "57.009255",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "233098",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03135811",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Roush
• Carol Ann Rousseau, M.A., CCC-A
• Cassandra N Rousseau
• Monique Antionette Rousseau, LPN
• Sally J Rousseau, LCSW
• Marissa Roux
• Rowan Center for Behavioral Medicine, a Psychological Corporation
• Susan Rowe-Calcagno, REGISTERED DIETITIAN
• Amy S Rowe, P.A.
• Elizabeth Fern Rowe, PT

• Dermatology Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.
• 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.