Ellen Lewis Royal, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

21763 Issued in AL

Practice address

2901 Corporate Park Dr
Opelika, AL 36801-7283

Phone

(334) 203-1766

Fax

(334) 203-1784

NPI assigned

May 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: ellen.royal@pedassoc.direct.medconnect-inc.com

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

• The East Alabama Health Care Authority

  • General Acute Care Hospital
  • Opelika, AL
  • NPI 1154386431
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1689622763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 CORPORATE PARK DR",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368017283",
            "telephone_number": "334-203-1766",
            "fax_number": "334-203-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 CORPORATE PARK DR",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368017283",
            "telephone_number": "334-203-1766",
            "fax_number": "334-203-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYAL",
        "first_name": "ELLEN",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "AL",
            "license": "21763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000044755",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "44755",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terrance Christopher Rosenthal, A.T., C.
• Lawrence Christopher Ross, LPC
• Sophie Leigh Roth
• William Patrick Roush, MD
• James Rowe, LPC
• James Kevin Royal, DR.
• Charles T Rubio, PH.D.
• Linda P Rubio, MSC, SLP-CCC
• Tiama Lamia Rucker
• William Chalmers Ruffin, DO

• Pediatric Adolescent Medicine Physician in Opelika, AL
• Providers in Opelika, AL by specialty
• Pediatric Adolescent Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.