Active NPI
Kimberly Royal, DO
- Internal Medicine Physician
- Ashland, OH
National Provider Identifier
1396933677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 34-00-6532
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 282-68-4616 | Other | OH | BWC |
| 2053709 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
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.