JOHN L. ROUSSALIS M.D., P.C.
NPI 1205025624
Plastic Surgery in Casper, WY

Active since October 22, 2007
1129 E 2ND ST, CASPER, WY 82601(307) 234-4585(307) 265-7479 Get Directions Write a Review

NPPES record last updated: September 7, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John L. Roussalis M.d., P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN L. ROUSSALIS M.D., P.C. (NPI 1205025624) is a healthcare organization registered as a plastic surgery in Casper, Wyoming and active in the NPI registry since October 2007. The organization lists John Louis Roussalis, President, as its authorized official.

NPPES Registry Identity

NPI1205025624
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameJOHN L. ROUSSALIS M.D., P.C.
Location Address1129 E 2ND STCasper, WY 82601-2903
Mailing Address1129 E 2nd StCasper, WY 82601-2903 · (307) 234-4585 · Fax (307) 265-7479
Fax(307) 265-7479
Organization SubpartNo
Authorized OfficialJohn Louis RoussalisPresident · (307) 234-4585
Enumeration DateOctober 22, 2007
Last NPPES UpdateSeptember 7, 2011
NPI 1205025624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in WY · 7691A
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
1129 E 2ND ST, Casper, WY 82601

Other Identifiers 1

Medicare PIN21591WY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
1129 E 2ND ST
CASPER, WY 82601
Clinic/Center
1129 E 2ND ST
CASPER, WY 82601
Surgery (Plastic and Reconstructive Surgery)
1129 E 2ND ST
CASPER, WY 82601
Nurse Practitioner
1129 E 2ND ST
CASPER, WY 82601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John L. Roussalis M.D., P.C.'s NPI number?

The NPI number for John L. Roussalis M.D., P.C. is 1205025624. It was assigned to this organization in the NPPES registry on October 22, 2007.

Where is John L. Roussalis M.D., P.C. located?

John L. Roussalis M.D., P.C. is located at 1129 E 2nd St, Casper, WY 82601. The listed phone number is (307) 234-4585.

What is John L. Roussalis M.D., P.C.'s specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

When was this NPI record last updated?

The NPPES record for John L. Roussalis M.D., P.C. was last updated on September 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.