Stacey Y Royal, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD434643 Issued in PA

Practice address

1106 Ohio River Blvd
# 602
Sewickley, PA 15143-2048

Phone

(419) 819-0488

Fax

(412) 202-5375

NPI assigned

Dec 16, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Northwest Ohio Urgent Care Inc

  • Internal Medicine Physician
  • Toledo, OH
  • NPI 1710183520
  NPD (past)

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1316923824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4017 WASHINGTON RD",
            "address_2": "# 2000",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172520",
            "telephone_number": "419-819-0488",
            "fax_number": "412-202-5375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 OHIO RIVER BLVD",
            "address_2": "# 602",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151432048",
            "telephone_number": "419-819-0488",
            "fax_number": "412-202-5375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYAL",
        "first_name": "STACEY",
        "middle_name": "Y",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35079907R",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "OH",
            "license": "35079907R",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301073222",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "MI",
            "license": "4301073222",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD434643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2750876",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2268139",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022588090001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Roebuck, MS, OTR/L
• Sharon R Roseman, MD
• Omar A Ross, P.T.
• Gracia Rother, CCC-SLP
• Royal Treatment Urgent Medical Care Center Inc.
• Maureen M Russell, M.D.
• Katie Elizabeth Ryan, LCSW
• Margaret Anne Saluga, OTR/L
• Samaritan Counseling Center of Western PA
• Samaritan Counseling Center of Western PA.

• Family Medicine Physician in Sewickley, PA
• Providers in Sewickley, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.