Individual
JAMES P ROUPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6710
(301) 790-8713
(301) 665-1810
Mailing address
PO BOX 1248, HAGERSTOWN, MD 21741-1248
(800) 938-2828
(302) 733-0854
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R113275
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001922306
—
PA
01
—
053276
AANA NUMBER
—
05
—
2604228000
—
WV
05
—
400172900
—
MD
01
—
430075828
RAILROAD MEDICARE
MD
Enumeration date
09/27/2005
Last updated
11/14/2019
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