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Jonathon R Roullard, CAA
Anesthesiologist Assistant in Carmel, Indiana
NPI 1124556261

Jonathon R Roullard is an Anesthesiologist Assistant based in Indianapolis, IN. Jonathon R Roullard practices in Carmel, IN and has the professional credentials of CAA. The NPI Number for Jonathon R Roullard is 1124556261 and holds a License No. 75000146A (Indiana).

The current practice location address for Jonathon R Roullard is 11700 N Meridian St, Carmel, IN and can be reached out via phone at 317-577-4200.

Location: 11700 N Meridian St, Carmel, IN, 46219-4959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124556261
Provider Name
Jonathon R Roullard
Credential
CAA
Provider Entity Type
Individual
Gender
Male
Address
11700 N Meridian St, Carmel, IN, 46219-4959
Phone Number
317-577-4200
Fax Number
Provider Enumeration Date
06/02/2017
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
23865827 01 NCCAA
1101755112 01 IN ANTHEM PTAN
institution
Provider Business Practice Location Address Details
Address
11700 N Meridian St
City
Carmel
State
Indiana
Zip
46032-4656
Phone Number
317-577-4200
Fax Number
person
Provider Business Mailing Address Details
Address
11700 N Meridian St
City
Carmel
State
Indiana
Zip
46032-4656
Phone Number
317-577-4200
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Anesthesiologist Assistant
Speciality
-
Taxonomy
367H00000X
License No.
75000146A (Indiana)
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
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