Active NPI
Roy A. Michael, D.O.
- Anesthesiology Physician
- Jefferson City, MO
National Provider Identifier
1851386437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- R3B81
- Practice address
- 1445 Christy Dr
Jefferson City, MO 65101-2853 - Phone
- (573) 636-7716
- Fax
- (573) 636-5315
- NPI assigned
- Sep 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | R3B81 | MO | Primary |
Addresses
Primary practice location
1445 Christy Dr
Jefferson City, MO 65101-2853
Mailing address
1445 Christy Dr
Jefferson City, MO 65101-2853
Phone (573) 636-7716
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192406400000",
"number": "1851386437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1445 CHRISTY DR",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651012853",
"telephone_number": "573-636-7716",
"fax_number": "573-636-5315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1445 CHRISTY DR",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651012853",
"telephone_number": "573-636-7716",
"fax_number": "573-636-5315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAEL",
"first_name": "ROY",
"middle_name": "A.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2007-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MO",
"license": "R3B81",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jefferson City, MO
- Nathan P Meyer, CRNA
- Randall E Meyer, MD FACC
- Patricia Michelle D Meyers, FNP
- Michael H. Jones DMD LLC
- Michael W. Prenger Family Center
- Michele Rice, OD & Associates PC
- Robin U. Michitsch, D.O.
- Mid America Prosthetic Center, LLC.
- Mid Missouri Hand & Orthopedic Surgery Inc
- Mid Missouri Medical Consultants, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.