James W. Roat, M.D., P.C.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

23838 Issued in IA

Legal business name

JAMES W. ROAT, M.D., P.C.

Practice address

2910 Hamilton Blvd Ste 103
Sioux City, IA 51104-2423

Phone

(712) 252-1322

Fax

(712) 252-1353

NPI assigned

Aug 14, 2012

Last updated

Aug 17, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James William RoatNPI 1457331621

Title

President

Phone

(712) 252-1322

Specialties & licenses 1

Addresses

Other identifiers 12

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Roat, M.D.

  • Gastroenterology Physician
  • Sioux City, IA
  • NPI 1457331621
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1538416052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 HAMILTON BLVD STE 103",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511042423",
            "telephone_number": "712-252-1322",
            "fax_number": "712-252-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 HAMILTON BLVD STE 103",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511042423",
            "telephone_number": "712-252-1322",
            "fax_number": "712-252-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES W. ROAT, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "ROAT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-252-1322"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IA",
            "license": "23838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "100000543",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2984768",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100028460A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEBRASKA BLUE SHIELD",
            "identifier": "20520",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "239763300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "A002980",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073972",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205156003",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "75985",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7775360",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208371",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XPY047960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher L Jacobs, A.R.N.P.
• Emma Jacobs Lavonne Jacobs
• Sandra Lee Jacobsma, LMSW
• James L. Hartje M.D. P.C.
• James R Froggatt MD, PC
• Christine Marie James, OD
• Yoosan Dalu Jarso
• Chandana Javvaji, M.D.
• Thomas Jaynes, CADC
• Jeannie Franklin

• Gastroenterology Physician in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Gastroenterology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.