Active NPI
Roy Marc Arkin, M.D.
- Surgery Physician
- Greensboro, NC
National Provider Identifier
1063443695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 20643
- Practice address
- 613 Woodvale Dr.
Greensboro, NC 27410 - Phone
- (336) 294-0207
- NPI assigned
- Jul 5, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 20643 | NC | Primary |
Addresses
Primary practice location
613 Woodvale Dr.
Greensboro, NC 27410
Mailing address
613 Woodvale Dr
Greensboro, NC 27410-5649
Phone (336) 294-0207
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8911704 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063443695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "613 WOODVALE DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274105649",
"telephone_number": "336-294-0207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 WOODVALE DR.",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "27410",
"telephone_number": "336-294-0207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARKIN",
"first_name": "ROY",
"middle_name": "MARC",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "20643",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8911704",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.