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Dr. Charles Jason Rousseau, D.O.

Thoracic Surgery (Cardiothoracic Vascular Surgery) in Spartanburg, SC. Individual provider (NPI-1).

NPI number1982803144
StatusActive
Last updated in NPPESDec 14, 2020

Details

NPI
1982803144
Entity type
Individual (NPI-1)
Name
Dr. Charles Jason Rousseau
Credential
D.O.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 17, 2007
Certification date
Dec 14, 2020
Last updated
Dec 14, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - GENERAL SURGERY
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)853SCYes
208600000X Surgery853SC

Practice location

225 E Wood St
Spartanburg, SC 29303-3050

Phone 864-583-4420 · Fax 864-542-1045

Mailing address

Po Box 743070
Atlanta, GA 30374-3070

Phone 864-560-4304 · Fax 864-560-4413

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician providers in Spartanburg, SC

All 7 Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician providers in Spartanburg · All 4,348 providers in Spartanburg

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