A K Roy MD SC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

A K ROY MD SC

Practice address

205 S Park St
Streator, IL 61364-4448

Phone

(815) 673-2409

Fax

(815) 672-9225

NPI assigned

Oct 24, 2007

Last updated

Feb 17, 2008By 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. Asamonja K Roy, MD

Title

Physician

Phone

(815) 673-2409

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203206400000",
    "number": "1932388147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S PARK ST",
            "city": "STREATOR",
            "state": "IL",
            "postal_code": "613644448",
            "telephone_number": "815-673-2409",
            "fax_number": "815-672-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S PARK ST",
            "city": "STREATOR",
            "state": "IL",
            "postal_code": "613644448",
            "telephone_number": "815-673-2409",
            "fax_number": "815-672-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A K ROY MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2008-02-17",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "ASAMONJA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "815-673-2409",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Streator, IL
• Providers in Streator, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2008; 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.