| James W. Roat, M.d., P.c. | |
|
2910 Hamilton Blvd Ste 103 Sioux City IA 51104-2423 | |
| (712) 252-1322 | |
| (712) 252-1353 |
| Full Name | James W. Roat, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2910 Hamilton Blvd Ste 103, Sioux City, Iowa |
| Authorized Official Name and Position | James William Roat (PRESIDENT) |
| Authorized Official Contact | 7122521322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James W. Roat, M.d., P.c. 2910 Hamilton Blvd Ste 103 Sioux City IA 51104-2423 Ph: (712) 252-1322 | James W. Roat, M.d., P.c. 2910 Hamilton Blvd Ste 103 Sioux City IA 51104-2423 Ph: (712) 252-1322 |
| NPI Number | 1538416052 |
|---|---|
| Provider Enumeration Date | 08/14/2012 |
| Last Update Date | 08/17/2018 |
| Medicare PECOS PAC ID | 5698924306 |
|---|---|
| Medicare Enrollment ID | O20121012000093 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538416052 | NPI | - | NPPES |
| 100028460A | Medicaid | OK | |
| 75985 | Medicaid | MT | |
| 239763300 | Medicaid | MN | |
| A002980 | Other | TRICARE | |
| 205156003 | Medicaid | MO | |
| 20520 | Other | NE | NEBRASKA BLUE SHIELD |
| XPY047960 | Medicaid | CA | |
| 1073972 | Medicaid | WA | |
| 100000543 | Other | TRAVELERS MEDICARE | |
| 208371 | Medicaid | IA | |
| 2984768 | Medicaid | CO | |
| 7775360 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 23838 (Iowa) | Primary |
| Provider Name | James W Roat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457331621 PECOS PAC ID: 2860459229 Enrollment ID: I20041216000973 |
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