Stacie E Rougas
Pediatrics (Adolescent Medicine)

Address: 940 Ne 13th St, 4n4419, Oklahoma City, OK 73104-5008
Phone: 4052716208

Stacie E Rougas (NPI# 1194793430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1194793430
Entity Type Individual
Full Name Stacie E Rougas
Credential MD
Gender Female
Practice Address 940 Ne 13th St
4n4419
Oklahoma City
OK 73104-5008
Practice Telephone 4052716208
Mailing Address 1122 Ne 13th St
Ori236
Oklahoma City
OK 73117-1039
Mailing Telephone 4052711515
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-03-11
Last Update Date 2007-07-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 2080A0000X Pediatrics · Adolescent Medicine Allopathic & Osteopathic Physicians 21756 OK

Physician Overview

NPI 1194793430
PAC ID by PECOS 9234260092
Professional Enrollment ID I20100623000688
Full Name Stacie E Rougas
Organization Legal Name MERCY CLINIC OKLAHOMA COMMUNITIES
Phone Number 4052850660
Gender F
Medical School UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year 1999
Primary Specialty DERMATOLOGY
Group Practice PAC ID 1153468921
Number of Group Practice Members 420
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
370013 MERCY HOSPITAL OKLAHOMA CITY, INC

Office Location

Street Address 940 NE 13TH ST
4N4419
City OKLAHOMA CITY
State OK
Zip Code 73104-5008

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669460549 Susan J Hassed Genetic Counselor, MS 940 Ne 13th St, Cho - Genetics 2b 2418, Oklahoma City, OK 73104-5008 2005-10-13
1962947994 Nicole Marie Massie Physician Assistant 940 Ne 13th St, Oklahoma City, OK 73104-5008 2016-12-29
1043691033 Thang Truong Pediatrics 940 Ne 13th St, Oklahoma City, OK 73104 2015-06-15
1730593294 Natalie Stratemeier Radiology 940 Ne 13th St, Suite 4g4200, Oklahoma City, OK 73104-5008 2014-06-12
1023456431 Natalie Nimer Smith Pediatrics 940 Ne 13th St, Oklahoma City, OK 73104-5008 2013-06-07
1972948438 Stephanie Ferrin Pediatrics 940 Ne 13th St, Oklahoma City, OK 73104-5008 2013-05-09
1417392986 Chee Yoon Shim Bauer Internal Medicine 940 Ne 13th St, Oklahoma City, OK 73104 2013-05-09
1881039055 David Auld Pediatrics 940 Ne 13th St, Oklahoma City, OK 73104-5008 2013-05-01
1245674647 Geoffrey Lowe Pediatrics 940 Ne 13th St, Oklahoma City, OK 73104-5008 2013-04-29
1194169672 Alisha Solomon Internal Medicine 940 Ne 13th St, Oklahoma City, OK 73104-5008 2013-04-26
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447715453 Roman Michael Garcia Student in an Organized Health Care Education/Training Program Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 2019-02-04
1407337462 Opus Medical, LLC Psychiatry & Neurology 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 2018-08-27
1316433295 Syed Muhammad Shakaib Quadri Pathology 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 2018-07-03
1447746417 Nimrah Bader Internal Medicine 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 2018-07-02
1417440793 Helen Judith Turkson Apetor Nurse Practitioner 700 Ne 13th, Oklahoma City, OK 73104 2018-06-11
1003307935 Mary Katlin Nixon Obstetrics & Gynecology 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 2018-05-26
1558851220 Bryce Yohannan Student in an Organized Health Care Education/Training Program 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 2018-05-17
1346746690 Kacy Anne Richburg Orthopaedic Surgery 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 2018-04-04
1609393149 Sarah Kathryn Walsh Clinical Nurse Specialist 825 N.e. 10th St Suite 2g, Oklahoma City, OK 73104 2017-08-25
1891212551 Mary Elizabeth Mohon Psychologist Oklahoma Vamc 921 Ne 13th Street, 11g, Oklahoma City, OK 73104 2017-08-24
Find all providers in zip 73104

Taxonomy Information

Taxonomy Code 2080A0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Adolescent Medicine

Taxonomy Definition

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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497788624 Shelley Ann Bohn Pediatrics 937 Sw 89th St, Suite A, Oklahoma City, OK 73139-9231 2006-07-09
1235207515 Southwest Pediatrics, Pllc Pediatrics 937 Sw 89th St, Suite A, Oklahoma City, OK 73139-9231 2006-12-02
1457462574 John E Stecklow Pediatrics 3613 Nw 56th St, Suite 320, Oklahoma City, OK 73112-4526 2006-08-31
1952379281 Philip J Rettig Pediatrics 1200 N Phillips Ave, Suite 7500, Oklahoma City, OK 73104-4600 2006-03-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356544951 Kristin Diane Conkling Pediatrics 5125 E 107th Pl, Tulsa, OK 74137-7236 2007-06-09
1780789362 Children & Adolescent Medical Services Inc. Pediatrics 8803 S. 101st E. Ave., Suite 200, Tulsa, OK 74133 2006-09-14
1770504037 Miguel Antonio Camacho-garrido Pediatrics 1104 Walnut Dr, Ardmore, OK 73401-2353 2006-07-22
1922038348 Paul Andrew Scott Benson Pediatrics 4444 E. 41st Street, 2nd Floor, Ou Physicians -- Pediatrics, Tulsa, OK 74135 2006-07-03
1235128430 Elizabeth Gail Lewis Pediatrics 2701 Sw Cornell Ave, Lawton, OK 73505-7121 2005-10-19
1871581470 Charles R Mettry Pediatrics 201 N Monte Vista St, Suite B, Ada, OK 74820-7200 2005-10-10
1578568010 Julie Gail Sullivan Pediatrics 1615 S Eucalyptus Ave, Suite 210, Broken Arrow, OK 74012-6159 2005-06-20
1609005842 Ahmad Pediatrics Pediatrics 302 E Downing St, Tahlequah, OK 74464-3014 2009-07-09
1235399122 South Pointe Pediatrics, Pllc Pediatrics 1615 S Eucalyptus Ave, Suite 210, Broken Arrow, OK 74012-6159 2008-06-13
1285891945 Kids Pediatric and Adolescent Care Pediatrics 7711 E 111th St, Suite 111, Tulsa, OK 74133-2570 2008-05-20
Find all providers with the same taxonomy

Competitor

Search similar providers

City OKLAHOMA CITY
Zip Code 73104

Improve Information

Please comment or provide details below to improve the information on Stacie E Rougas.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches