Organization Active NPI

Marci a. Roy, M. D., PLLC

  • Specialist
  • Bastrop, TX
National Provider Identifier
1073754719
Registry record updated Mar 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J5635 Issued in TX
Legal business name
MARCI A. ROY, M. D., PLLC
Practice address
3101 Highway 71 E
Suite 201
Bastrop, TX 78602-5156
Phone
(512) 467-7770
Fax
(512) 685-5115
NPI assigned
Mar 10, 2009
Last updated
Mar 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marci Anne Roy
Title
Owner
Phone
(512) 467-7770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X J5635 TX Primary

Addresses

Primary practice location

3101 Highway 71 E
Suite 201
Bastrop, TX 78602-5156

Mailing address

5656 Bee Cave Rd
J-202
West Lake Hills, TX 78746-5280
Phone (512) 467-7770

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236643200000",
    "number": "1073754719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVE RD",
            "address_2": "J-202",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465280",
            "telephone_number": "512-467-7770",
            "fax_number": "512-685-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 HIGHWAY 71 E",
            "address_2": "SUITE 201",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786025156",
            "telephone_number": "512-467-7770",
            "fax_number": "512-685-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCI A. ROY, M. D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-10",
        "last_updated": "2009-03-10",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "MARCI",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-467-7770"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "J5635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.