JEFFERY J ROY (NPI# 1023360823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023360823 |
| Entity Type | Individual |
| Full Name | JEFFERY J ROY |
| Credential | C.P.O. |
| Practice Address |
1229 W Washington St Marquette MI 49855-3186 |
| Mailing Address |
509 S Superior Ave Baraga MI 49908-9698 |
| Practice Telephone | 9063537161 |
| Practice Fax Number | 9063537000 |
| Mailing Telephone | 9063537161 |
| Mailing Fax Number | 9063537000 |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2012-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902999865 | Jeffery Scott Roy | Physician Assistant | 91 Perimeter Rd, Suite 100, Rome, NY 13441-4018 | 2006-10-02 |
| Street Address |
1229 W WASHINGTON ST |
| City | MARQUETTE |
| State | MI |
| Zip Code | 49855-3186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665064 | Scott Allen Poirier | Physician Assistant | 850 West Baraga Avenue, Marquette, MI 49855 | 2019-08-23 |
| 1730734831 | Katelyn Tourville | Physician Assistant | 1401 Presque Isle Ave-health Center, Marquette, MI 49855 | 2019-08-06 |
| 1932681095 | Katelyn Longanbach | Physical Therapist | 841 W Washington St Ste 500, Marquette, MI 49855 | 2018-09-05 |
| 1366943979 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 3630 Us 41 W, Marquette, MI 49855 | 2018-02-28 |
| 1518466143 | Orthopaedic Surgery Associates of Marquette PC | Prosthetic/Orthotic Supplier | 841 West Washington Street, Suite 100, Marquette, MI 49855 | 2018-02-09 |
| 1376075598 | Pamela Baynton | Licensed Practical Nurse | 2292 U.S. 41 W, Marquette, MI 49855 | 2017-03-28 |
| 1548709454 | Allison Jean Czarny | Registered Nurse | 160 E Wright Pl, Marquette, MI 49855 | 2017-02-13 |
| 1629427299 | Larry Chappel | Social Worker | 210 Chippewa Square, Suite 208, Marquette, MI 49855 | 2016-06-06 |
| 1366898348 | Carla Pate | Student in an Organized Health Care Education/Training Program | 235 Hunt Hall, Marquette, MI 49855 | 2016-05-10 |
| 1922479732 | Nicholas Wujcik | Student in an Organized Health Care Education/Training Program | 504 S Fifth St, Marquette, MI 49855 | 2015-10-20 |
| Find all providers in zip 49855 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385740 | Jodie Lynn Robertson | Prosthetist | 3720 Eastern Se, Grand Rapids, MI 49508 | 2020-08-04 |
| 1447877212 | Kewanna Lenise Hill | Prosthetist | 20533 Poinciana, Redford, MI 48240-1201 | 2020-06-28 |
| 1003443334 | Denitia Lynnice Morris | Prosthetist | 21537 Kelly Rd, Eastpointe, MI 48021-3213 | 2020-03-25 |
| 1245872118 | Kyra Canada | Prosthetist | 27491 Bell Rd, Southfield, MI 48034-2080 | 2019-10-11 |
| 1356902449 | Mary Free Bed Orthotics and Prosthetics | Prosthetist | 7123 Stadium Dr, Kalamazoo, MI 49009-4943 | 2019-06-28 |
| 1871958439 | Kainnon Vilminot | Prosthetist | 3469 E Grand River Ave, Suite 110, Howell, MI 48843-8504 | 2015-12-28 |
| 1629441258 | Joshua Ryder | Prosthetist | 4915 Stanton Blvd, Montague, MI 49437-1039 | 2015-11-04 |
| 1841531175 | Lindsay Muntick | Prosthetist | 5005 Cascade Rd Se, Grand Rapids, MI 49546-8411 | 2013-03-12 |
| 1588953426 | Angela Carthan-fox | Prosthetist | 1028 Professional Dr Ste A5, Flint, MI 48532-3635 | 2011-03-31 |
| 1821306911 | Paul R Cauley | Prosthetist | 6438 Woodward Ave, Detroit, MI 48202-3216 | 2010-09-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JEFFERY J ROY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.