Individual
TIMOTHY STARLING ROUSH
Active
Individual
TIMOTHY STARLING ROUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
200100085
NC
208600000X
Surgery Physician
35-069667
OH
2086S0129X
Vascular Surgery Physician
Primary
200100085
NC
2086S0129X
Vascular Surgery Physician
35-069667
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128A4
BCBS
NC
05
—
1720091499
—
NC
05
—
89128A4
—
NC
05
—
N0076B
—
SC
01
—
P00200674
RAILROAD MEDICARE
—
Enumeration date
08/14/2006
Last updated
12/05/2016
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