Stacey Stokes Roussell
M.D. | Pediatric Adolescent Medicine | Female
Stacey Stokes Roussell, M.D. is a Louisville, Kentucky based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Stacey Stokes Roussell is
4010 Dupont Cir, Suite 283, Louisville, Kentucky - 40207-4812. She can be contacted on phone at
502-897-1727 and fax number 502-895-0827.
Stacey Stokes Roussell is a sole proprietor of her business.
NPI number (Unique professional ID) for Stacey Stokes Roussell is
1770629099 which was assigned by NPPES on 30 Jan, 2007 and it was last updated on 21 Jan, 2021.
Stacey Stokes Roussell license number is
35005 for Pediatrics Adolescent Medicine (2080A0000X) in Kentucky.
Stacey Stokes Roussell specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Stacey Stokes Roussell basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Stacey Stokes Roussell |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Stacey Stokes Roussell 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 : | 4010 Dupont Cir, Suite 283
Louisville, KY, 40207-4812
United States |
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| Phone Number : | 502-897-1727 |
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| Fax Number : | 502-895-0827 |
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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 : | 1770629099 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 30 Jan, 2007 |
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| Last Updated On : | 21 Jan, 2021 |
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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 Stacey Stokes Roussell are as mentioned. Primary taxonomy code for Stacey Stokes Roussell, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 35005 | KY |
Legacy Identifiers:
Other legacy medical identifiers of Stacey Stokes Roussell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 50035679 | Other | KY | PASSPORT - KCMA |
| 000000200556 | Other | KY | PASSPORT HEALTH PLAN |
| 64035678 | MEDICAID | KY | |
| 129357 | Other | KY | SIHO - KCMA |
| 000000739400 | Other | KY | ANTHEM - KCMA |
| 000000200556 | Other | KY | ANTHEM |
| 611356201 | Other | KY | TAX ID |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | sroussell5474@direct.nortonhealthcare.org
| No affiliation |
|
| 4010 DUPONT CIR, SUITE 283
LOUISVILLE, KY, 40207-4812
United States |
FHIR
(FHIR URL) | https://epicsoap.nortonhealthcare.org/
| No affiliation |
|
| 4010 DUPONT CIR, SUITE 283
LOUISVILLE, KY, 40207-4812
United States |
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 : | Po Box 776351
Chicago, IL, 60677-6351
United States |
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| Phone Number : | 502-588-9490 |
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| Fax Number : | 502-272-5337 |
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Business Location:
Patients can refer following map for directions to
Stacey Stokes Roussell practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.