Henry Roy III

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

013173 Issued in ME

Practice address

25 Hospital Dr
Bridgton, ME 04009-1156

Phone

(207) 647-2311

Fax

(207) 647-6015

NPI assigned

Jan 26, 2006

Last updated

Mar 9, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mainehealth

  • General Acute Care Hospital
  • Farmington, ME
  • NPI 1558305847
  Medicare reassignment NPD

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1407827744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HOSPITAL DR",
            "city": "BRIDGTON",
            "state": "ME",
            "postal_code": "040091156",
            "telephone_number": "207-647-2311",
            "fax_number": "207-647-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HOSPITAL DR",
            "city": "BRIDGTON",
            "state": "ME",
            "postal_code": "040091156",
            "telephone_number": "207-647-2311",
            "fax_number": "207-647-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "HENRY",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "013173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert P Doyle, M.D., P.a.
• Peter D. Robertson, L.C.S.W.
• Michel Robichaud
• Bridget Mairead Ross-Fitzgibbons, APRN, AGNP-C
• Christopher A Roy, PT
• Linda Ann Russell, RD, LD, CDCES
• Lisa Ryan
• Saco Bay Orthopaedic and Sports Physical Therapy, Inc. (Saco Bay Orthopaedic Sports & Physical Therapy)
• Saco Bay Orthopaedic and Sports Physical Therapy, Inc. (Saco Bay Orthopaedic Sports & Physical Therapy)
• Rebecca Lee Sadowski-Badeau, LCPC

• Internal Medicine Physician in Bridgton, ME
• Providers in Bridgton, ME by specialty
• Internal Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.