National Provider Identifier Database

MARY D ROUSE, MD – NPI #1578509345
Adolescent Medicine

A pediatrician who 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.


Contact Information

MARY D ROUSE, MD
6640 INTECH BLVD
SUITE 195
INDIANAPOLIS, IN46278-2011
Phone: 317-295-0608
Fax: 317-295-0622
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for MARY D ROUSE

NPI Number 1578509345
Credentials MD
Entity Individual
Enumeration date 06/21/2006
Last updated 12/01/2014 - About 12 years ago
Sole proprietor1 No
Identifiers
  • IN License #: 01040728
  • IN Medicaid: 100357530
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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