JERRY C ROY (NPI# 1780694943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780694943 |
Entity Type | Individual |
Full Name | JERRY C ROY |
Credential | M.D. |
Practice Address |
1412 Elba Hwy Troy AL 36079-0000 |
Mailing Address |
1414 Elba Hwy Troy AL 36079-6020 |
Practice Telephone | 3345668822 |
Practice Fax Number | 3348088942 |
Mailing Telephone | 3346706726 |
Mailing Fax Number | 3346706731 |
Enumeration Date | 2006-08-09 |
Last Update Date | 2013-03-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 27171 | AL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | 631805040 | 05 | |
AL | BCBS | 51003204 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487826814 | Jerry Roy | Internal Medicine | 201 Park St, Bowling Green, KY 42101-1759 | 2008-03-26 |
Street Address |
1412 ELBA HWY |
City | TROY |
State | AL |
Zip Code | 36079-0000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801829643 | Griffith Guerry Walters | Family Medicine | 1412 Elba Hwy, Troy, AL 36079-6020 | 2006-07-07 |
1295198687 | Amy E Brown | Pediatrics | 1412 Elba Hwy, Troy, AL 36079-6020 | 2016-04-01 |
1902288731 | Troy Pharmacy, LLC | Pharmacy | 1412 Elba Hwy, Troy, AL 36079-6020 | 2015-06-29 |
1730568171 | Dana Baldo-downs Wade | Social Worker | 1412 Elba Hwy, Troy, AL 36079-6020 | 2015-05-19 |
1619391265 | Jefferson Edgington | Nurse Practitioner | 1412 Elba Hwy, Troy, AL 36079-6020 | 2014-02-18 |
1811251010 | Brandi Bowden Dowling | Nurse Practitioner | 1412 Elba Hwy, Troy, AL 36079-6020 | 2012-07-02 |
1154508380 | Robert Alan Wade | Nurse Practitioner | 1412 Elba Hwy, Troy, AL 36079-6020 | 2008-01-30 |
1578625125 | Southeast Alabama Rural Health Associates | Clinic/Center | 1412 Elba Hwy, Troy, AL 36079 | 2006-12-13 |
1922018183 | Ben A Smith | Family Medicine | 1412 Elba Hwy, Troy, AL 36079-0000 | 2006-08-09 |
1003826249 | Tonya L Richards | Nurse Practitioner | 1412 Elba Hwy, Troy, AL 36079-0000 | 2006-08-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629591060 | Walgreen Co | Pharmacy | 115 Southland Vlg # C, Troy, AL 36079 | 2017-07-18 |
1821138413 | Fleming Kirk, LLC | Optometrist | 97 Oak Park Drive, Troy, AL 36079 | 2007-02-06 |
1831563527 | Sabrina L Pennington | Specialist | 104 Emily Ct, Troy, AL 36079-2981 | 2015-11-18 |
1073985438 | Cherise Renee Crisman | Specialist/Technologist | 105 Dale Dr, Troy, AL 36079-3012 | 2015-10-26 |
1255622593 | Iveri Guri Zhvania | Pharmacist | 115 Southland Vlg, Troy, AL 36079-3044 | 2011-04-20 |
1346359742 | Harco Inc | Durable Medical Equipment & Medical Supplies | 115 Southland Vlg, Troy, AL 36079-3044 | 2006-08-30 |
1609214949 | Trina Gould Thompson | Audiologist | 419 Jane Rd, Apt. 2, Troy, AL 36079-3052 | 2013-06-09 |
1487622932 | Shanna F May | Optometrist | 97 Oak Park Dr, Troy, AL 36079-3081 | 2006-03-10 |
1568088722 | Giselle Pacheco Childers | Optometrist | 97 Oak Park Dr, Troy, AL 36079-3081 | 2020-06-23 |
1003301664 | Haley Henson | Optometrist | 97 Oak Park Dr, Troy, AL 36079-3081 | 2018-06-26 |
Find all providers in zip 36079 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437478476 | Jennifer G Ray | Pediatrics | 164 Professional Pkwy, Troy, MO 63379 | 2010-05-28 |
1982854840 | Sachin K Shah | Pediatrics | 1007 Alameda Blvd, Troy, MI 48085-6736 | 2008-09-26 |
1962665869 | Jonathan Lauter | Pediatrics | 1800 W Big Beaver Rd Ste 200, Troy, MI 48084-3545 | 2008-07-10 |
1104086461 | Elizabeth N Dawson | Pediatrics | 1300 United States Highway 231 South, Troy, AL 36081 | 2008-06-11 |
1902087380 | Christina Zanakis-tempelis | Pediatrics | 111 Scouting Circle, Troy, AL 36081 | 2007-11-14 |
1932288552 | Annamalai Muthiah | Pediatrics | 195 5th Avenue, Troy, NY 12180 | 2006-11-03 |
1356440572 | Center for Pediatric & Adolescent Medicine | Pediatrics | 2100 W Big Beaver, Ste 110, Troy, MI 48084 | 2006-09-22 |
1194824805 | Norma Iringan Pattugalan | Pediatrics | 1405 Stonycreek Rd, Troy, OH 45373 | 2006-09-21 |
1174591549 | Majda A Hannish | Pediatrics | 2100 W Big Beaver Rd, Ste 110, Troy, MI 48084 | 2006-03-10 |
1316922271 | Mary D Oshea | Pediatrics | 3270 W Big Beaver Rd, Suite 400, Troy, MI 48084-2901 | 2005-12-13 |
Find all providers in TROY |
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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.