DR. MARK WILLIAM ROY (NPI# 1174514327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174514327 |
| Entity Type | Individual |
| Full Name | DR. MARK WILLIAM ROY |
| Credential | MD |
| Practice Address |
518 S Van Buren Rd Suite 6 Eden NC 27288-5033 |
| Mailing Address |
Po Box 488 Eden NC 27289-0488 |
| Practice Telephone | 3366239711 |
| Mailing Telephone | 3366239711 |
| Mailing Fax Number | 3366270778 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2011-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 36816 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8973551 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063442747 | Mark Allen Roy | Social Worker | 5251 147th St Ste 9, Oak Forest, IL 60452-1347 | 2006-07-05 |
| 1851360424 | Mark Joseph Roy IIi | Optometrist | 640 Saint Charles St, Thibodaux, LA 70301-3422 | 2006-03-16 |
| 1154758456 | Mark Adam Roy | Nurse Anesthetist, Certified Registered | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2013-10-01 |
| 1174572143 | Mark Roy | Optometrist | 32090 23 Mile Rd, Chesterfield, MI 48047-1901 | 2006-05-08 |
| Street Address |
518 S VAN BUREN RD SUITE 6 |
| City | EDEN |
| State | NC |
| Zip Code | 27288-5033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083080147 | Rockingham County Healthcare Alliance | Family Medicine | 518 S Van Buren Rd, Suite 1, Eden, NC 27288-5033 | 2015-08-12 |
| 1992110076 | Forsyth Medical Group, LLC | Internal Medicine | 518 S Van Buren Rd, Suite 5, Eden, NC 27288-5033 | 2014-06-26 |
| 1083053011 | Betty J Marshall | Nurse Practitioner | 518 S Van Buren Rd, Ste 2, Eden, NC 27288-5033 | 2013-06-24 |
| 1801143763 | Morehead Memorial Hospital | Pain Medicine | 518 S Van Buren Rd, Suite 2, Eden, NC 27288-5033 | 2012-08-10 |
| 1578840294 | Morehead Memorial Hospital | Neurological Surgery | 518 S Van Buren Rd, Suite 6, Eden, NC 27288-5033 | 2011-11-09 |
| 1760797294 | Morehead Memorial Hospital | Family Medicine | 518 S Van Buren Rd, Suite 9, Eden, NC 27288-5033 | 2010-08-09 |
| 1669797379 | Morehead Memorial Hospital | Otolaryngology | 518 S Van Buren Rd, Suite 8, Eden, NC 27288-5033 | 2010-04-06 |
| 1245494335 | Mary Ann Allen | Audiologist | 518 S Van Buren Rd, Suite 8, Eden, NC 27288-5033 | 2008-07-17 |
| 1245413673 | Suresh A Koneswaran | Internal Medicine | 518 S Van Buren Rd, Suite 3, Eden, NC 27288-5033 | 2007-12-07 |
| 1851596860 | Morehead Memorial Hospital | Psychiatry & Neurology | 518 S Van Buren Rd, Suite 2, Eden, NC 27288-5033 | 2007-06-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639781297 | Bailey Shea Scism | Pharmacist | 103 W Stadium Dr., Eden, NC 27288 | 2020-08-17 |
| 1538640628 | Donnell Corey Brown Jr. | Technician | 519 Orchard Drive, Eden, NC 27288 | 2018-08-27 |
| 1851728182 | Linda Mitchell | Physical Therapy Assistant | 114 E Kings Hwy, Eden, NC 27288 | 2013-10-01 |
| 1033341573 | Central State of The Carolinas, Inc. | Day Training, Developmentally Disabled Services | 229 Cedar St., Eden, NC 27288 | 2009-08-18 |
| 1114186483 | Enrich Cosmetic Center | Internal Medicine | 406 B Thompson St, Eden, NC 27288 | 2008-06-03 |
| 1265630891 | John R. Dabbs Jr. Dc PC | Preferred Provider Organization | 405 Boone Road, Eden, NC 27288 | 2007-07-05 |
| 1235283961 | James Harrison Eggleston | Dentist | 113 West Arbor Lane, Eden, NC 27288 | 2007-01-22 |
| 1962563940 | Barbara Collins Tanner | Nurse Practitioner | 134 North Pierce Street, Morehead High School Student Health Center, Eden, NC 27288 | 2006-12-13 |
| 1285690974 | Robert Maurice Vaughn | Chiropractor | 405 Boone Rd, Eden, NC 27288 | 2006-04-22 |
| 1619930666 | Direct Respiratory Services | Durable Medical Equipment & Medical Supplies | 302a North Pierce Street, Eden, NC 27288 | 2006-04-10 |
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| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811492069 | Unc Rockingham Health Care, Inc. | Neurological Surgery | 518 S Van Buren Rd Ste 6, Eden, NC 27288-5017 | 2018-03-29 |
| 1578840294 | Morehead Memorial Hospital | Neurological Surgery | 518 S Van Buren Rd, Suite 6, Eden, NC 27288-5033 | 2011-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104472125 | Novant Medical Group, Inc. | Neurological Surgery | 3515 W Market St Ste 210, Greensboro, NC 27403-4442 | 2019-08-15 |
| 1538616289 | Private Diagnostic Clinic, Pllc | Neurological Surgery | 1212 Cedarhurst Dr Ste 102, Raleigh, NC 27609-5588 | 2016-09-09 |
| 1306228028 | Charles Rawlings IIi | Neurological Surgery | 426 Old Salem Rd, Winston Salem, NC 27101-5268 | 2015-06-19 |
| 1790048593 | Edward Yap | Neurological Surgery | 170 Manning Dr, Cb# 7060, Department of Neurosurgery, Chapel Hill, NC 27599-7060 | 2012-06-18 |
| 1588921969 | Thomas Ostergard | Neurological Surgery | 1130 N Church St Ste 200, Greensboro, NC 27401-1041 | 2012-04-23 |
| 1679898548 | Andrew Hall Marky | Neurological Surgery | 7825 Ballantyne Commons Pkwy Ste 150, Charlotte, NC 28277-3175 | 2010-04-02 |
| 1114256468 | William Leonard Sims | Neurological Surgery | 955 37th Ave Ne, Hickory, NC 28601-9609 | 2009-12-16 |
| 1497080006 | Novant Medical Group Inc | Neurological Surgery | 190 Kimel Park Dr Ste 155, Winston Salem, NC 27103-6946 | 2009-10-15 |
| 1205068186 | Jeffrey S Beecher | Neurological Surgery | 2208 S 17th St Ste 201, Wilmington, NC 28401-7594 | 2009-08-11 |
| 1568606747 | Mark Russell Witcher | Neurological Surgery | Dept. of Neurosurgery, Wake Forest University, Baptist Medical Center, Medical Center Blvd., Winston Salem, NC 27127-7580 | 2009-05-01 |
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| 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.