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General NPI Number Information
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NPI Number | 1154647220
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Entity Type | Individual
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Provider Name | CAROLINE ELIZABETH ROUSE M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/14/2010
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 550 N. UNIVERSITY BOULEVARD, UH 2440
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-0001
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Country | US
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Telephone | 317-944-8182
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Fax | 317-944-7417
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Provider Business Mailing Address
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Address Line | 550 N. UNIVERSITY BOULEVARD, UH 2440
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City | INDIANAPOLIS
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State | IN
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Zip | 46202
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Country | US
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Telephone | 317-944-8182
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Fax | 317-944-7417
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ML60156663
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 01078682A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 01078682A
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License Number State | IN
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