Roush, Timothy Starling

Roush, Timothy Starling is an individual health care provider with primary practice located at 1001 Blythe Blvd Suite 300 - Cardiac Surgery:, Charlotte NC 28203-5863. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Roush, Timothy Starling can be contacted via phone (704) 373-0212.

Contact Information

Primary practice address
1001 Blythe Blvd Suite 300 - Cardiac Surgery: Charlotte NC 28203-5863
Phone: (704) 373-0212
Fax: (704) 372-1249
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 200100085 North Carolina
Allopathic & Osteopathic Physicians / Surgery 208600000X 35-069667 Ohio
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 200100085 North Carolina
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 35-069667 Ohio

Profile Details

NPI number 1720091499
LBN Legal business name Roush, Timothy Starling
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Dec 5th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720091499 NPPES
Other P00200674 RAILROAD MEDICARE
Other 128A4 RAILROAD MEDICARE
MEDICAID N0076B RAILROAD MEDICARE
MEDICAID 89128A4 RAILROAD MEDICARE
MEDICAID 1720091499 RAILROAD MEDICARE

Popular Providers