NPI 1124556261

Jonathon R Roullard, CAA

Practitioner Anesthesiologist Assistant Carmel, IN

Practice location

Address: 11700 N Meridian St, Carmel, IN 46032-4656
Phone: (317) 577-4200
Mailing address: 250 N Shadeland Ave, Indianapolis, IN 46219-4959

Registered specialties (2)

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 75000146A (IN)

Other Anesthesiologist Assistant providers in Indiana →

Anesthesiologist Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 23865827

Registry record

NPI: 1124556261
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jun 2017
Record last updated: 3 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.