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Deactivated NPI 1356581011 Deactivated / Inactive NPI Male Practitioner

Dr. Jacques F Roux , MD

Specialist • Wilson, WY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jacques Roux has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 20, 2009
NPI Deactivation Date September 21, 2022
Total Practice Duration ~13 Years of Practice (2009 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Jacques Roux, MD was a registered Specialist practicing in Wilson, WY. Throughout an active medical career spanning 13 years, Dr. Roux provided care at the practice location at 3625 LAKECREEK RD. until profile deactivation on 2022-09-21.

Practice Location & Contact Primary Location

Practice Address

3625 Lakecreek Rd.

Wilson, WY 83014

Telephone 3077336916
Fax 3077336916

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Wilson, WY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
4 Specialists

Practicing in Wilson, WY (61 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License WY 2991A

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 21, 2022

Record deactivated on September 21, 2022

NPI Profile Active February 20, 2009

NPI status registered as active in NPPES database

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Updated Practice Location February 20, 2009

Registered at 3625 LAKECREEK RD., WILSON, WY 83014 (Tel: 3077336916)

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Updated Business Mailing Address February 20, 2009

Registered at 3625 N. LAKE CREEK DR., WILSON, WY 83014 (Tel: 3077336916)

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Provider Name / Credentials Updated February 20, 2009

Recorded as JACQUES ROUX, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2009

Specialist (License #2991A in WY)

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Initial NPI Registration & Enumeration February 20, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356581011
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2009
Last Update: February 20, 2009
Deactivation Date: September 21, 2022

Mailing Address

3625 N. Lake Creek Dr.

Wilson, WY 83014

Phone: 3077336916

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.