DR. KELLY H ROY (NPI# 1891787693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891787693 |
| Entity Type | Individual |
| Full Name | DR. KELLY H ROY |
| Credential | MD |
| Practice Address |
1008 E Mcdowell Rd Phoenix AZ 85006-2603 |
| Mailing Address |
1008 E Mcdowell Rd Ste A Phoenix AZ 85006-2603 |
| Practice Telephone | 6023588588 |
| Practice Fax Number | 6026878873 |
| Mailing Telephone | 6023588588 |
| Mailing Fax Number | 6026886991 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2020-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
28111 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MEDICARE ID - UNSPECIFIED | Z82292 | 01 |
| AZ | BLUE CROSS BLUE SHIELD | AZ0756830 | 01 |
| AZ | 519556 | 05 | |
| AZ | AETNA | 7976320 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10555 N Tatum Blvd Ste A101, Paradise Valley, AZ 852531096 | 6023588588 | 6026886991 |
| 1919 E Mckellips Rd Ste 106, Mesa, AZ 852032855 | 6023588588 | 6026886991 |
| 3105 Clearwater Dr, Prescott, AZ 863057166 | 6023588588 | 6026886991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407358781 | Kelly Roy | Speech-Language Pathologist | 12300 S 40 Dr, Saint Louis, MO 63141-8820 | 2018-03-02 |
| 1457731077 | Kelly Elizabeth Roy | Behavioral Analyst | 9545 Georgia Ave, Silver Spring, MD 20910 | 2015-06-09 |
| Street Address |
1008 E MCDOWELL RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327470 | Edie Watson | Nurse Practitioner | 1008 E Mcdowell Rd, Phoenix, AZ 85006-2603 | 2020-08-18 |
| 1245613256 | Paradise Valley Surgery Center | Clinic/Center | 1008 E Mcdowell Rd, Suite C, Phoenix, AZ 85006-2603 | 2015-07-08 |
| 1487888426 | Gynesurgical, LLC | Clinic/Center | 1008 E Mcdowell Rd, Phoenix, AZ 85006-2603 | 2009-05-05 |
| 1003099367 | Kelly H. Roy, Md, PC | Internal Medicine | 1008 E Mcdowell Rd, Phoenix, AZ 85006 | 2007-12-10 |
| 1114107323 | T.a. Jantz, D.o., P.C. | Surgery | 1008 E Mcdowell Rd, Phoenix, AZ 85006-2603 | 2007-11-06 |
| 1295956621 | Kendis Moore Drake | Nurse Practitioner | 1008 E Mcdowell Rd, Phoenix, AZ 85006-2603 | 2007-05-02 |
| 1457476418 | Laser Surgery Center, LLC | Clinic/Center | 1008 E Mcdowell Rd, Phoenix, AZ 85006-2603 | 2007-03-20 |
| 1063461580 | Understanding Women PC | Obstetrics & Gynecology | 1008 E Mcdowell Rd, Phoenix, AZ 85006 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124414834 | Rachel Eliason | Obstetrics & Gynecology | 500 W Thomas Rd Ste 660, Phoenix, AZ 85013-4247 | 2015-04-09 |
| 1033389911 | Gynecolgy Center of Phoenix | Obstetrics & Gynecology | 2222 E Highland Ave Ste 225a, Phoenix, AZ 85016-4885 | 2008-03-06 |
| 1043302656 | Gordon Doyle Davis | Obstetrics & Gynecology | 300 W Clarendon, #100, Phoenix, AZ 85013 | 2006-09-29 |
| 1750398251 | Jack Obadia | Obstetrics & Gynecology | 2725 E Camelback Rd, # 150, Phoenix, AZ 85016-4312 | 2006-08-01 |
| 1215927892 | Paragi R Shah | Obstetrics & Gynecology | 19646 N 27th Ave, Ste 403, Phoenix, AZ 85027-4017 | 2005-10-25 |
| 1427046291 | Laurel A Kubby | Obstetrics & Gynecology | 3102 E Indian School Rd, #130, Phoenix, AZ 85016-6872 | 2005-10-06 |
| 1043204175 | Jeffry Weisfeld | Obstetrics & Gynecology | 2911 W Sierra St, Phoenix, AZ 85029-4327 | 2005-09-03 |
| 1194717991 | Felipe L.g. Videla | Obstetrics & Gynecology | 1616 E Maryland Ave, Phoenix, AZ 85016-1302 | 2005-08-17 |
| 1720070790 | Franklin D Loffer | Obstetrics & Gynecology | 3410 N 4th Ave, Phoenix, AZ 85013-3905 | 2005-08-16 |
| 1467457747 | Mystie L Johnson | Obstetrics & Gynecology | 9305 W Thomas Rd, Ste 155, Phoenix, AZ 85037-3328 | 2005-06-14 |
| Find all providers in PHOENIX | ||||
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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.