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TIMOTHY STARLING ROUSH M.D.
NPI 1720091499
Surgery - Vascular Surgery in Charlotte, NC

Active since August 14, 2006
1001 BLYTHE BLVD, SUITE 300 - CARDIAC SURGERY:, CHARLOTTE, NC 28203(704) 373-0212(704) 372-1249 Get Directions Write a Review

NPPES record last updated: December 5, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Timothy Starling Roush M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY STARLING ROUSH M.D. (NPI 1720091499) is an individual vascular surgery provider in Charlotte, North Carolina, licensed in North Carolina (200100085) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1720091499
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameTIMOTHY STARLING ROUSHCredential: M.D.
Location Address1001 BLYTHE BLVD, SUITE 300 - CARDIAC SURGERY:Charlotte, NC 28203-5863
Mailing AddressPo Box 601067Charlotte, NC 28260-1067 · (704) 373-0212 · Fax (704) 372-1248
Phone(704) 373-0212
Fax(704) 372-1249
Sole ProprietorNo
Enumeration DateAugust 14, 2006
Last NPPES UpdateDecember 5, 2016
✔ NPI 1720091499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Licenses✔ Licensed in NC · 200100085✔ Licensed in OH · 35-069667
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X · License 35-069667 (OH), 200100085 (NC)
1001 BLYTHE BLVD, Charlotte, NC 28203
Open in Google Maps ↗

Other Identifiers 7

Other128A4NC · Bcbs
Medicaid89128A4NC
MedicaidN0076BSC
Medicaid1720091499NC
OtherP00200674Railroad Medicare
Medicare UPING18878
Medicare PIN2282428ANC

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA MARIE SEBRING MD
Pediatrics (Pediatric Critical Care Medicine)
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
HANNA LYN JAKOBEK NP
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
JANETTA KITCHKO PA
Physician Assistant
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
NICOLE A. CAGLE RICHARDSON MD
Pediatrics
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
GAIL MARGARET HARRIS NP
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
PAMELA CAROL JACKSON NP
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
BRITTANY FORREN ROGERS NP
Nurse Practitioner
1001 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-1450
MS. RACHAEL LAMERE KAIN PA-C
Physician Assistant (Surgical)
1001 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 446-3350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Roush's NPI number?

The NPI number for Timothy Roush is 1720091499. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Timothy Roush located?

Timothy Roush practices at 1001 Blythe Blvd Suite 300 - Cardiac Surgery:, Charlotte, NC 28203. The listed phone number is (704) 373-0212.

What is Timothy Roush's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Timothy Roush was last updated on December 5, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.