Jean Wedner Rousseau, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

06203R Issued in LA

Practice address

4140 Hollywood Avenue
Shreveport, LA 71109-7818

Phone

(318) 621-9600

Fax

(318) 621-0169

NPI assigned

Sep 9, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1157760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750485900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 HOLLYWOOD AVENUE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711097818",
            "telephone_number": "318-621-9600",
            "fax_number": "318-621-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 HOLLYWOOD AVENUE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711097818",
            "telephone_number": "318-621-9600",
            "fax_number": "318-621-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSSEAU",
        "first_name": "JEAN",
        "middle_name": "WEDNER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "06203R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1334022",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Aaron Rossum, MHS
• Tanaira Rounds
• Rouse Consultants, LLC
• Kelly L Rouse, LBA, BCBA
• Djenane Rousseau, RPH
• Charles Rowe, R.PH.
• James Robert Rowe, M.A., L.P.C.
• Jennifer Rowe
• Judy Rowe, RRT
• Amy Catherine Rowell, MD

• General Practice Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• General Practice Physician in Louisiana

• 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.

Verify at the official NPI Registry.