Mr. Dwayne Lewis Roush --
MD | Pediatrics | Male
Mr. Dwayne Lewis Roush --, MD is a Oklahoma City, Oklahoma based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mr. Dwayne Lewis Roush -- is
1025 Straka Ter, Oklahoma City, Oklahoma - 73139-2544. He can be contacted on phone at
405-632-6688 and fax number 405-604-0708.
Mr. Dwayne Lewis Roush -- is a sole proprietor of his business.
NPI number (Unique professional ID) for Mr. Dwayne Lewis Roush -- is
1518069715 which was assigned by NPPES on 01 Sep, 2006 and it was last updated on 07 Mar, 2023.
Mr. Dwayne Lewis Roush -- license number is
19836 for Pediatrics (208000000X) in Oklahoma.
Mr. Dwayne Lewis Roush -- is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mr. Dwayne Lewis Roush -- basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Mr. Dwayne Lewis Roush -- |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
Business Address:
Mr. Dwayne Lewis Roush -- address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1025 Straka Ter
Oklahoma City, OK, 73139-2544
United States |
|---|
| Phone Number : | 405-632-6688 |
|---|
| Fax Number : | 405-604-0708 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1518069715 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 01 Sep, 2006 |
|---|
| Last Updated On : | 07 Mar, 2023 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Dwayne Lewis Roush -- are as mentioned. Primary taxonomy code for Mr. Dwayne Lewis Roush --, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 19836 | OK |
Legacy Identifiers:
Other legacy medical identifiers of Mr. Dwayne Lewis Roush -- such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 100126030B | MEDICAID | OK | |
| G72116 | MEDICARE UPIN | | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1025 Straka Ter
Oklahoma City, OK, 73139-2544
United States |
|---|
| Phone Number : | 405-632-6688 |
|---|
| Fax Number : | 405-604-0708 |
|---|
Business Location:
Patients can refer following map for directions to
Mr. Dwayne Lewis Roush -- practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.