Mark Andrew Rouillard

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

62 Oak Woods Rd
North Berwick, ME 03906-6121

Phone

(207) 432-1777

NPI assigned

Mar 12, 2014

Last updated

Mar 12, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1790101871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 OAK WOODS RD",
            "city": "NORTH BERWICK",
            "state": "ME",
            "postal_code": "039066121",
            "telephone_number": "207-432-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 OAK WOODS RD",
            "city": "NORTH BERWICK",
            "state": "ME",
            "postal_code": "039066121",
            "telephone_number": "207-432-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUILLARD",
        "first_name": "MARK",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Leah Schroeder, OTR/L
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• Health Educator in North Berwick, ME
• Providers in North Berwick, ME by specialty
• Health Educator in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.