Royal Clinic PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ROYAL CLINIC PC

Practice address

705 Medical Park Dr
Humboldt, TN 38343-3034

Phone

(731) 784-2442

Fax

(731) 784-1000

NPI assigned

Mar 23, 2007

Last updated

Aug 26, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Festus N Arinze, MDNPI 1114974086

Title

Owner

Phone

(731) 784-2442

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Festus N Arinze, M.D.

  • Internal Medicine Physician
  • Humboldt, TN
  • NPI 1114974086
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1639296965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 MEDICAL PARK DR",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383433034",
            "telephone_number": "731-784-2442",
            "fax_number": "731-784-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 MEDICAL PARK DR",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383433034",
            "telephone_number": "731-784-2442",
            "fax_number": "731-784-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "ARINZE",
        "authorized_official_first_name": "FESTUS",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-784-2442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Humboldt, TN
• Providers in Humboldt, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.