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:
Health care specialties
| Specialty | Code | License # | 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 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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 |
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