Active NPI
Paula M Roy, M.D.
- Emergency Medicine Physician
- Elizabethtown, KY
National Provider Identifier
1982762498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- KY23414
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64234149 | Medicaid | KY | |
| 000000529917 | Other | ANTHEM | |
| 23414 | Other | KY | KY 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
| License | State | Type | Specialty |
|---|---|---|---|
| KY23414 | KY | MD | Emergency Medicine Physician |
| 23414 | KY | MD | Family 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.