Provider Demographics
NPI:1164414629
Name:ROSSON, BILLY J (MD)
Entity Type:Individual
Prefix:MR
First Name:BILLY
Middle Name:J
Last Name:ROSSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:155 HOSPITAL DR
Mailing Address - Street 2:STE 206
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-2852
Mailing Address - Country:US
Mailing Address - Phone:337-234-3204
Mailing Address - Fax:337-234-3599
Practice Address - Street 1:155 HOSPITAL DR
Practice Address - Street 2:STE 206
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2852
Practice Address - Country:US
Practice Address - Phone:337-234-3204
Practice Address - Fax:337-234-3599
Is Sole Proprietor?:No
Enumeration Date:2005-08-19
Last Update Date:2012-12-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA020517207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1900613Medicaid
G01749Medicare UPIN
LA1900613Medicaid