Timothy Starling Roush, MD - Surgery in Charlotte, NC

Timothy Starling Roush, MD is a Surgery - Vascular Surgery physician based in Charlotte, North Carolina. Timothy Starling Roush is licensed to practice in North Carolina (license number 200100085) and his current practice location is 1001 Blythe Blvd, Suite 300 - Cardiac Surgery:, Charlotte, North Carolina. He can be reached at his office (for appointments etc.) via phone at (704) 373-0212.

NPI number for Timothy Starling Roush is 1720091499 and his current mailing address is Po Box 601067, Charlotte, North Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720091499.

Contact Information

Timothy Starling Roush, MD
1001 Blythe Blvd, Suite 300 - Cardiac Surgery:,
Charlotte, NC 28203-5863
(704) 373-0212
(704) 372-1249

Map and Direction




Physician's Profile

Full NameTimothy Starling Roush
GenderMale
SpecialitySurgery - Vascular Surgery
Location1001 Blythe Blvd, Charlotte, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1720091499
  • Provider Enumeration Date: 08/14/2006
  • Last Update Date: 12/05/2016

Medical Identifiers

Medical identifiers for Timothy Starling Roush such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720091499NPI-NPPES
P00200674OtherRAILROAD MEDICARE
128A4OtherNCBCBS
N0076BMedicaidSC
89128A4MedicaidNC
1720091499MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 200100085 (North Carolina)Secondary
208600000XSurgery 35-069667 (Ohio)Secondary
2086S0129XSurgery - Vascular Surgery 200100085 (North Carolina)Primary
2086S0129XSurgery - Vascular Surgery 35-069667 (Ohio)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Timothy Starling Roush is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Timothy Starling Roush, MD
Po Box 601067,
Charlotte, NC 28260-1067

Ph: (704) 373-0212
Timothy Starling Roush, MD
1001 Blythe Blvd, Suite 300 - Cardiac Surgery:,
Charlotte, NC 28203-5863

Ph: (704) 373-0212

Reviews and Comments


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