Individual
DR. WILLIAM DOUGLAS ROUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
969 LAKELAND DR, JACKSON, MS 39216-4606
(601) 936-2194
Mailing address
P.O. BOX 55589, JACKSON, MS 39216-0000
(601) 936-2194
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
10466
MS
2085R0202X
Diagnostic Radiology Physician
Primary
10466
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122418
—
MS
01
—
1861428351
GROUP NPI
—
01
—
C00475
GROUP MEDICARE UPIN
—
Enumeration date
08/09/2006
Last updated
08/25/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us