Active NPI
Royal Treatment Urgent Medical Care Center Inc.
- Family Medicine Physician
- Sewickley, PA
National Provider Identifier
1326024936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD434643
- Legal business name
- ROYAL TREATMENT URGENT MEDICAL CARE CENTER INC.
- Doing business as
- Stacey Royal
- Practice address
- 1106 Ohio River Blvd
# 602
Sewickley, PA 15143-2048 - Phone
- (419) 819-0488
- Fax
- (412) 202-5375
- NPI assigned
- Dec 16, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stacey Y Royal
- Title
- Owner
- Phone
- (419) 819-0488
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD434643 | PA | Primary |
| Clinic/Center | 261Q00000X | 4301073222 | MI | |
| Primary Care Clinic/Center | 261QP2300X | 35079907R | OH |
Addresses
Primary practice location
1106 Ohio River Blvd
# 602
Sewickley, PA 15143-2048
Mailing address
4017 Washington Rd
# 2000
MC Murray, PA 15317-2520
Phone (412) 202-5375
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1022563590001 | Medicaid | PA | |
| 2268139 | Medicaid | OH | |
| 1022588090001 | Medicaid | PA | |
| 2750876 | Medicaid | OH |
Other names 1
- Stacey Royal
National Provider Directory
National Provider DirectoryLocations
1090 W South Boundary St
Ste 200
Perrysburg, OH 43551
Phone (419) 872-1914
4017 Washington Rd
McMurray, PA 15317
Phone (419) 874-1394
1106 Ohio River Blvd
Ste 602
Sewickley, PA 15143
Phone (412) 202-5375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248048000000",
"number": "1326024936",
"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": "412-202-5375",
"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": {
"organization_name": "ROYAL TREATMENT URGENT MEDICAL CARE CENTER INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-16",
"last_updated": "2009-07-20",
"status": "A",
"authorized_official_last_name": "ROYAL",
"authorized_official_first_name": "STACEY",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "419-819-0488",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "PA",
"license": "MD434643",
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "MI",
"license": "4301073222",
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "OH",
"license": "35079907R",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1022563590001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2268139",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1022588090001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2750876",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Stacey Royal",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sewickley, PA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.