Organization Active NPI

Royal Treatment Urgent Medical Care Center Inc.

  • Family Medicine Physician
  • Sewickley, PA
National Provider Identifier
1326024936
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD434643 Issued in PA
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

Updated by the provider on Jul 20, 2009

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1022563590001MedicaidPA
2268139MedicaidOH
1022588090001MedicaidPA
2750876MedicaidOH

Other names 1

  • Stacey Royal Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.