Active NPI
Michael P Royalty MD LLC
- Interventional Pain Medicine Physician
- Boonville, IN
National Provider Identifier
1053785774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- MICHAEL P ROYALTY MD LLC
- Practice address
- 4888 Lost Lake CT
Boonville, IN 47601 - Phone
- (812) 473-0181
- Fax
- (812) 473-5822
- NPI assigned
- Nov 18, 2015
- Last updated
- Aug 20, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael P Royalty, MD
- Title
- Owner
- Phone
- (812) 473-0181
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | IN | Primary |
Addresses
Primary practice location
4888 Lost Lake CT
Boonville, IN 47601
Mailing address
PO Box 3276
Evansville, IN 47731-3276
Phone (812) 473-0181
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Anesthesiology Physician
- Newburgh, IN
- NPI 1508190281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534723200000",
"number": "1053785774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3276",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477313276",
"telephone_number": "812-473-0181",
"fax_number": "812-473-5822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4888 LOST LAKE CT",
"city": "BOONVILLE",
"state": "IN",
"postal_code": "47601",
"telephone_number": "812-473-0181",
"fax_number": "812-473-5822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL P ROYALTY MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-18",
"last_updated": "2018-08-20",
"status": "A",
"authorized_official_last_name": "ROYALTY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "812-473-0181",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boonville, IN
- Major Hospital (Transcendent Healthcare of Boonville - North)
- Major Hospital (Transcendent Healthcare of Boonville)
- Bhargavi Mandipalle, MD
- Sierra Meier, PHARMD
- Stephen Andrew Meyer
- Midwest Medical Associates, LLC
- Josel V Mijares, M.D.
- James Wirick Miller Jr., ATC, CSCS
- Lisa M Miller, FNP-C
- Lori Allison Miller
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.