Active NPI
Jacinthe Rouleau, MD
- Ophthalmology Physician
- Iowa City, IA
National Provider Identifier
1730199621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 36651
- Practice address
- 200 Hawkins Drive 11128 PFP
University of Iowa Hospitals and Clinics
Iowa City, IA 52242 - Phone
- (319) 356-2864
- Fax
- (319) 356-0363
- NPI assigned
- Aug 9, 2006
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 36651 | IA | Primary |
Addresses
Primary practice location
200 Hawkins Drive 11128 PFP
University of Iowa Hospitals and Clinics
Iowa City, IA 52242
Mailing address
200 Hawkins Drive 11128 PFP
University of Iowa Hospitals and Clinics
Iowa City, IA 52242
Phone (319) 356-2864
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0735993 | Medicaid | IA | |
| 25189 | Other | IA | WELLMARK BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36651 | IA | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730199621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HAWKINS DRIVE 11128 PFP",
"address_2": "UNIVERSITY OF IOWA HOSPITALS AND CLINICS",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "52242",
"telephone_number": "319-356-2864",
"fax_number": "319-356-0363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HAWKINS DRIVE 11128 PFP",
"address_2": "UNIVERSITY OF IOWA HOSPITALS AND CLINICS",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "52242",
"telephone_number": "319-356-2864",
"fax_number": "319-356-0363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROULEAU",
"first_name": "JACINTHE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IA",
"license": "36651",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0735993",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "25189",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.