Organization Active NPI

Kimberly Royal, DO

  • Internal Medicine Physician
  • Ashland, OH
National Provider Identifier
1396933677
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34-00-6532 Issued in OH
Legal business name
KIMBERLY ROYAL, DO
Practice address
1941 Baney Rd S
Ashland, OH 44805-4502
Phone
(419) 289-6357
NPI assigned
Oct 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

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

Authorized official

Name
Kimberly Royal, D.O.
Title
Doctor of Osteopathic Medicine
Phone
(419) 289-6357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 34-00-6532 OH Primary

Addresses

Primary practice location

1941 Baney Rd S
Ashland, OH 44805-4502

Mailing address

PO Box 72098
Cleveland, OH 44192-0002
Phone (513) 557-3195

Other identifiers 2

IdentifierTypeStateIssuer
282-68-4616OtherOHBWC
2053709MedicaidOH

National Provider Directory

National Provider Directory

Locations

1941 S Baney Rd
Ashland, OH 44805
Phone (419) 289-0333

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1396933677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72098",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441920002",
            "telephone_number": "513-557-3195",
            "fax_number": "513-557-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 BANEY RD S",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448054502",
            "telephone_number": "419-289-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY ROYAL, DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2009-02-27",
        "status": "A",
        "authorized_official_last_name": "ROYAL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DOCTOR OF OSTEOPATHIC MEDICINE",
        "authorized_official_telephone_number": "419-289-6357",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34-00-6532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "282-68-4616",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2053709",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.