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MR. DWAYNE LEWIS ROUSH MD
NPI 1518069715
Pediatrics in Oklahoma City, OK

Active since September 01, 2006
1025 STRAKA TER, OKLAHOMA CITY, OK 73139(405) 632-6688(405) 604-0708 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Dwayne Lewis Roush Md NPPES

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

MR. DWAYNE LEWIS ROUSH MD (NPI 1518069715) is an individual pediatrics provider in Oklahoma City, Oklahoma, licensed in Oklahoma (19836) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1518069715
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMR. DWAYNE LEWIS ROUSHCredential: MD
Location Address1025 STRAKA TEROklahoma City, OK 73139-2544
Mailing Address1025 Straka TerOklahoma City, OK 73139-2544 · (405) 632-6688 · Fax (405) 604-0708
Phone(405) 632-6688
Fax(405) 604-0708
Sole ProprietorNo
Enumeration DateSeptember 1, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1518069715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OK · 19836
Definition
A pediatrician 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.
1025 STRAKA TER, Oklahoma City, OK 73139
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Other Identifiers 1

Medicaid100126030BOK

Other Providers at the Same Location NPPES 20

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

MRS. JUDY KAY KELLOGG ARNP
Nurse Practitioner (Women's Health)
1025 STRAKA TER
OKLAHOMA CITY, OK 73139
Cleveland County (405) 632-6688
KATHRYN KNIGHT LCSW
Social Worker (Clinical)
1025 STRAKA TER
OKLAHOMA CITY, OK 73139
Cleveland County (405) 632-6688
ALTERNATIVE OPPORTUNITIES INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1025 STRAKA TER
OKLAHOMA CITY, OK 73139
Cleveland County (405) 632-6688
DR. MICHAEL LOYD TINSLEY D.D.S.
Dentist (General Practice)
1025 STRAKA TER
OKLAHOMA CITY, OK 73139
Cleveland County (405) 632-6688
ERIN SCOTT PHARM D
Pharmacist
1025 STRAKA TER
OKLAHOMA CITY, OK 73139
Cleveland County (405) 629-5281
EUNHYE STEELE APRN
Nurse Practitioner (Family)
1025 STRAKA TER
OKLAHOMA CITY, OK 73139
Cleveland County (405) 632-6688
TAYLOR DANIELLE SPISANY
Pharmacist (Ambulatory Care)
1025 STRAKA TER
OKLAHOMA CITY, OK 73139
Cleveland County (405) 632-6688
MARILYN APPIAH DO
Obstetrics & Gynecology
1025 STRAKA TER
OKLAHOMA CITY, OK 73139
Cleveland County (405) 632-6688

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 Dwayne Roush's NPI number?

The NPI number for Dwayne Roush is 1518069715. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Dwayne Roush located?

Dwayne Roush practices at 1025 Straka Ter, Oklahoma City, OK 73139. The listed phone number is (405) 632-6688.

What is Dwayne Roush's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Dwayne Roush was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.