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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. 23865827 (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
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
23865827 01 NCCAA
264430I62 01 IN MEDICARE PTAN
1101755112 01 IN ANTHEM PTAN
095200260 01 IN MEDICARE 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.
23865827 ()
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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