DR. ELLEN LEWIS ROYAL M.D. NPI 1689622763

NPI Information

NPI: 1689622763
Provider Name: DR. ELLEN LEWIS ROYAL, M.D.
Classification: Pediatrics - 2080A0000X
Entity Type: Individual

Specialization: Adolescent Medicine

Address:
2901 CORPORATE PARK DR
OPELIKA, AL
ZIP 36801
Phone: (334) 203-1766
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DR. Ellen Lewis Royal, M.D. is an adolescent medicine pediatrics in Opelika, AL. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. DR. Ellen Lewis Royal, M.D. NPI is 1689622763. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2901 CORPORATE PARK DR
OPELIKA, AL
ZIP 36801-283
Phone: (334) 203-1766
Fax: (334) 203-1784

The enumeration date for this NPI number is 5/4/2006 and was last updated on 10/24/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080A0000X	Pediatrics	Adolescent Medicine	21763	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	44755	OTHER	ALABAMA	BLUE CROSS & BLUE SHIELD
2	G48986	MEDICARE UPIN	ALABAMA
3	000044755	MEDICAID	ALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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