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MICHAEL ROUSH
NPI 1669629069
Military Health Care Provider - Independent Duty Corpsman in Norfolk, VA

Active since August 27, 2008
2600 TARAWA CT, NORFOLK, VA 23521(757) 462-4554 Get Directions Write a Review

NPPES record last updated: August 27, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Roush NPPES

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

MICHAEL ROUSH (NPI 1669629069) is an individual independent duty corpsman provider in Norfolk, Virginia and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1669629069
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMICHAEL ROUSH
Location Address2600 TARAWA CTNorfolk, VA 23521-3235
Mailing Address2600 Tarawa CtNorfolk, VA 23521-3235
Phone(757) 462-4554
Sole ProprietorNo
Enumeration DateAugust 27, 2008
✔ NPI 1669629069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
2600 TARAWA CT, Norfolk, VA 23521
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Other Providers at the Same Location NPPES 2

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

MR. CHARLES KEITH MAHAN IDC
Military Health Care Provider (Independent Duty Corpsman)
2600 TARAWA CT
NORFOLK, VA 23521
Norfolk City (757) 462-5544
MR. JAMES KOFI OSEI IDC
Military Health Care Provider (Independent Duty Corpsman)
2600 TARAWA CT, BLDG 1602, PC CREW BRAVO
NORFOLK, VA 23521
Norfolk City (757) 462-5533

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 Michael Roush's NPI number?

The NPI number for Michael Roush is 1669629069. It was assigned to this individual provider in the NPPES registry on August 27, 2008.

Where is Michael Roush located?

Michael Roush practices at 2600 Tarawa Ct, Norfolk, VA 23521. The listed phone number is (757) 462-4554.

What is Michael Roush's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Michael Roush was last updated on August 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.