DR. JOHNNY B ROY (NPI# 1295746519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295746519 |
| Entity Type | Individual |
| Full Name | DR. JOHNNY B ROY |
| Credential | M.D |
| Practice Address |
105 S Bryant Ave #110 Edmond OK 73034-6399 |
| Practice Telephone | 4058442400 |
| Practice Fax Number | 4058442415 |
| Mailing Telephone | 4058442400 |
| Mailing Fax Number | 4058442415 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 9569 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 10082100C | 05 |
| Street Address |
105 S BRYANT AVE #110 |
| City | EDMOND |
| State | OK |
| Zip Code | 73034-6399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861494015 | Charles M Gelnar | Surgery | 105 S Bryant Ave, #104, Edmond, OK 73034-6330 | 2005-06-01 |
| 1447754007 | Rajaram Md Pllc | Internal Medicine | 105 S Bryant Ave, Edmond, OK 73034 | 2018-03-20 |
| 1649696097 | National Centers for Pain Management and Research, LLC | Physical Medicine & Rehabilitation | 105 S Bryant Ave, Suite 301, Edmond, OK 73034-6399 | 2014-03-10 |
| 1871813170 | Stanley A Horst Md PC | Internal Medicine | 105 S Bryant Ave, Suite 100, Edmond, OK 73034-6399 | 2010-06-09 |
| 1033434626 | Michael D. Swafford, Psy.d., P.C. | Counselor | 105 S Bryant Ave, Suite 302, Edmond, OK 73034-6399 | 2010-04-07 |
| 1528392727 | Cameron Michelle Halsell | Obstetrics & Gynecology | 105 S Bryant Ave, #304, Edmond, OK 73034-6399 | 2009-09-22 |
| 1013240993 | Mark R Lynn Md Inc | Family Medicine | 105 S Bryant Ave, Suite 204a, Edmond, OK 73034-6399 | 2009-09-10 |
| 1467690347 | Freta Deanna Hale | Specialist/Technologist, Other | 105 S Bryant Ave, Suite 410, Edmond, OK 73034-6399 | 2009-01-30 |
| 1396954582 | Mitchell Horowitz Md PC | Internal Medicine | 105 S Bryant Ave, Suite 309, Edmond, OK 73034-6399 | 2007-05-22 |
| 1376619866 | John Christopher Martin | Family Medicine | 105 S Bryant Ave, Suite 300, Edmond, OK 73034-6399 | 2006-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| Find all providers in zip 73034 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053581496 | Ashley B Bowen | Urology | 14101 N Eastern Ave Ste C, Edmond, OK 73013-5860 | 2008-02-29 |
| 1124147046 | Motoo Araki | Urology | 1919 E 2nd St Apt 271, Edmond, OK 73034-6227 | 2007-03-29 |
| 1073570578 | Charles A Mcwilliams | Urology | 14101 N Eastern Ave, Suite C, Edmond, OK 73013-5859 | 2006-04-27 |
| 1679535470 | John P Ross | Urology | 14104 N. Eastern Ave. Ste. E, Edmond, OK 73013 | 2006-04-05 |
| 1962514455 | Laura Diane Stearman | Urology | 4833 Integris Pkwy, Suite 200, Edmond, OK 73034-8864 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194338426 | Davis Urology, Pllc | Urology | 13509 N Meridian Ave Ste 6, Oklahoma City, OK 73120-8396 | 2020-08-26 |
| 1073146304 | Roy W Bankhead Md PC | Urology | 5700 N Portland Ave Ste 100, Oklahoma City, OK 73112-1662 | 2020-02-14 |
| 1851877567 | Richard E. Herlihy Md, PC | Urology | 4140 W Memorial Rd Ste 611, Oklahoma City, OK 73120-8300 | 2018-07-16 |
| 1306383849 | Urology Affiliates of Oklahoma LLC | Urology | 5300 N Grand Blvd Ste 200, Oklahoma City, OK 73112-5517 | 2017-01-23 |
| 1285015057 | Caitlin Shepherd | Urology | 722 Nw 28th St, Oklahoma City, OK 73103-1009 | 2015-06-17 |
| 1295174969 | Joseph Fernando Rodriguez IIi | Urology | 920 Stanton L Young Blvd # Wp3150, Oklahoma City, OK 73104-5036 | 2013-06-17 |
| 1003159773 | Philip D. Diggdon Sr. | Urology | 3424 E. 65 St, Tulsa, OK 74136 | 2013-04-01 |
| 1811247885 | Melanie Nyeh Ketchandji | Urology | 1145 South Utica Avenue, Suite 202, Tulsa, OK 74104-4022 | 2012-09-17 |
| 1992055990 | Kathryn Griffin Cunningham | Urology | 4140 W Memorial Rd Ste 208, Oklahoma City, OK 73120 | 2012-09-17 |
| 1477847374 | Bhalaajee Meenakshi-sundaram | Urology | 1200 Childrens Ave # 7d, Oklahoma City, OK 73104 | 2011-06-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.