Roy Robert Keys, PC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

2006-01291 Issued in NC

Legal business name

ROY ROBERT KEYS, PC

Practice address

227 W Harris PL
Eden, NC 27288-9502

Phone

(336) 623-4545

Fax

(206) 333-1892

NPI assigned

Feb 5, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Lou S Roland

Title

Account Manager

Phone

(336) 623-4545

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1396984985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272890148",
            "telephone_number": "336-623-4545",
            "fax_number": "206-333-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 W HARRIS PL",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272889502",
            "telephone_number": "336-623-4545",
            "fax_number": "206-333-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY ROBERT KEYS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "ROLAND",
        "authorized_official_first_name": "LOU",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "336-623-4545",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2006-01291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5906278",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NORTH CAROLINA",
            "identifier": "146AA",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Emergency Medicine Physician in Eden, NC
• Providers in Eden, NC by specialty
• Emergency Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.