Individual provider Active NPI

Paula M Roy, M.D.

  • Emergency Medicine Physician
  • Elizabethtown, KY
National Provider Identifier
1982762498
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
KY23414 Issued in KY
Practice address
1111 Ring Rd
Carefirst
Elizabethtown, KY 42701-4900
Phone
(270) 706-1111
Fax
(270) 706-5085
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X KY23414 KY Primary
Family Medicine Physician 207Q00000X 23414 KY

Addresses

Primary practice location

1111 Ring Rd
Carefirst
Elizabethtown, KY 42701-4900

Mailing address

1111 Ring Rd
Carefirst
Elizabethtown, KY 42701-4900
Phone (270) 706-1111

Other identifiers 3

IdentifierTypeStateIssuer
64234149MedicaidKY
000000529917OtherANTHEM
23414OtherKYKY STATE MEDIAL LICENSE

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 Medicine

State licenses

LicenseStateTypeSpecialty
KY23414KYMDEmergency Medicine Physician
23414KYMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1982762498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 RING RD",
            "address_2": "CAREFIRST",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427014900",
            "telephone_number": "270-706-1111",
            "fax_number": "270-706-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 RING RD",
            "address_2": "CAREFIRST",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427014900",
            "telephone_number": "270-706-1111",
            "fax_number": "270-706-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "PAULA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "KY23414",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "23414",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64234149",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000529917",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY STATE MEDIAL LICENSE",
            "identifier": "23414",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.