Individual provider · Type 1 NPI

Timothy Starling Roush, MD

Vascular Surgery Physician · Charlotte, NC

NPI number 1720091499 Active

Practice location

1001 Blythe Blvd, Suite 300 - Cardiac Surgery:
Charlotte, NC 28203-5863

Call (704) 373-0212 Map

Fax (704) 372-1249

Mailing address

PO Box 601067
Charlotte, NC 28260-1067

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X200100085 (NC)
Surgery Physician 208600000X35-069667 (OH)
Vascular Surgery Physician Primary 2086S0129X200100085 (NC)
Vascular Surgery Physician 2086S0129X35-069667 (OH)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1720091499

Timothy Starling Roush, MD's National Provider Identifier is 1720091499, issued on Aug 14, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Charlotte, NC. The record was last updated on Dec 5, 2016.