Michael Roy, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

12322 Issued in ME

Practice address

22 Bramhall St
Portland, ME 04102

Phone

(207) 662-2651

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: mroy1105@direct.mmc.mainehealth.org

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1134227994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 MARGINAL WAY",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012438",
            "telephone_number": "207-773-7964",
            "fax_number": "207-773-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04102",
            "telephone_number": "207-662-2651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Congress St",
            "address_2": "Ste 300",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041022168",
            "country_code": "US",
            "telephone_number": "207-773-7964",
            "fax_number": "207-773-9073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "161 Marginal Way",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041012438",
            "country_code": "US",
            "telephone_number": "207-773-7964",
            "fax_number": "207-773-9073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROY",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "ME",
            "license": "12322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "243200099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eliza Jane Roy-Webb, CRNA
• Alyson Renee Roy, MS OTR/L
• Jennifer Lynne Roy
• Joanne T Roy, LCSW LADC
• Mary Anne Nicole Roy, PSYD
• Michelle Roy, PA-C
• Rebecca A Roy, C.R.N.A.
• Stephen Gerard Roy, LCSW
• Travis Roy, CRNA
• Royal Hope Care LLC

• Gastroenterology Physician in Portland, ME
• Providers in Portland, ME by specialty
• Gastroenterology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.

Verify at the official NPI Registry.