Organization
JAMES W. ROAT, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES WILLIAM ROAT (PRESIDENT)
(712) 252-1322
Entity
Organization
Contact information
Practice address
2910 HAMILTON BLVD STE 103, SIOUX CITY, IA 51104-2423
(712) 252-1322
(712) 252-1353
Mailing address
2910 HAMILTON BLVD STE 103, SIOUX CITY, IA 51104-2423
(712) 252-1322
(712) 252-1353
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
23838
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100000543
TRAVELERS MEDICARE
—
05
—
100028460A
—
OK
05
—
1073972
—
WA
05
—
205156003
—
MO
01
—
20520
NEBRASKA BLUE SHIELD
NE
05
—
208371
—
IA
05
—
239763300
—
MN
05
—
2984768
—
CO
05
—
75985
—
MT
05
—
7775360
—
SD
01
—
A002980
TRICARE
—
05
—
XPY047960
—
CA
Enumeration date
08/14/2012
Last updated
08/17/2018
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