NPIMap

Individual provider Active NPI

E. P. Roy III, M.D.

  • Neurology Physician
  • State College, PA
National Provider Identifier
1164485397
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD033372E Issued in PA
Practice address
2121 Old Gatesburg Rd
Suite 100
State College, PA 16803-2290
Phone
(814) 231-6868
Fax
(814) 231-1581
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD033372E PA Primary

Addresses

Primary practice location

2121 Old Gatesburg Rd
Suite 100
State College, PA 16803-2290

Mailing address

2121 Old Gatesburg Rd
Suite 100
State College, PA 16803-2290
Phone (814) 231-6868

Other names 1

  • Emile P. Roy III Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100301000023 PA Practitioner - Neurology 4981749157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Pennsylvania State University College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

2121 Old Gatesburg Rd
Suite 100
State College, PA 16803-2290
Phone (814) 231-6868

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD033372EPAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Nittany Medical Center Health Services Inc CurrentSince Jan 1, 2011 Accepting new patients
Mount Nittany Medical Center Health Services Inc Past Accepting new patients

Locations

141 Medical Park Ln
Bellefonte, PA 16823
Phone (814) 355-7322

1850 E Park Ave
State College, PA 16803
Phone (814) 234-6750

1850 E Park Ave
#201
State College, PA 16803
Phone (814) 234-8800

101 Regent Ct
State College, PA 16801
Phone (814) 231-1504

2121 Old Gatesburg Rd
Ste 100
State College, PA 16803
Phone (814) 231-6868

476 Rolling Ridge Dr
Fl 2
State College, PA 16801
Phone (814) 231-6868

1850 E Park Ave
Fl 2
State College, PA 16803
Phone (814) 237-3470

164 Greenview Dr
Ste 245
State College, PA 16803
Phone (814) 231-6868

1850 E Park Ave
Ste 201
State College, PA 16803
Phone (814) 234-8800

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1164485397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 OLD GATESBURG RD",
            "address_2": "SUITE 100",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032290",
            "telephone_number": "814-231-6868",
            "fax_number": "814-231-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 OLD GATESBURG RD",
            "address_2": "SUITE 100",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032290",
            "telephone_number": "814-231-6868",
            "fax_number": "814-231-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "E.",
        "middle_name": "P.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD033372E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILE",
            "last_name": "ROY",
            "middle_name": "P.",
            "suffix": "III",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.