DR. ELLEN LEWIS ROYAL (NPI# 1689622763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689622763 |
| Entity Type | Individual |
| Full Name | DR. ELLEN LEWIS ROYAL |
| Credential | M.D. |
| Practice Address |
2901 Corporate Park Dr Opelika AL 36801-7283 |
| Practice Telephone | 3342031766 |
| Practice Fax Number | 3342031784 |
| Mailing Telephone | 3342031766 |
| Mailing Fax Number | 3342031784 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2017-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
21763 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS & BLUE SHIELD | 44755 | 01 |
| AL | 000044755 | 05 |
| Street Address |
2901 CORPORATE PARK DR |
| City | OPELIKA |
| State | AL |
| Zip Code | 36801-7283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821077413 | Richard Mcconnell Freeman | Pediatrics | 2901 Corporate Park Dr, Opelika, AL 36801-7283 | 2006-01-11 |
| 1093332280 | Katie Henderson Meadows | Nurse Practitioner | 2901 Corporate Park Dr, Opelika, AL 36801-7283 | 2020-07-03 |
| 1669793220 | Katie Ann Wolter | Pediatrics | 2901 Corporate Park Dr, Opelika, AL 36801-7283 | 2010-06-17 |
| 1316099203 | Richard M. Freeman, M.d., PC | Pediatrics | 2901 Corporate Park Dr, Opelika, AL 36801-7283 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407400963 | Paul Simon | Physical Therapist | 3051 Frederick Rd Suite 4, Opelika, AL 36801 | 2019-08-01 |
| 1932662434 | East Alabama Apothecary LLC | Pharmacy | 2501 Village Professional Drive, Suite 2031, Opelika, AL 36801 | 2019-04-11 |
| 1316399108 | Jessica Audrey Haynie | Nurse Practitioner | 2609 Village Prof. Dr., Suite 3, Opelika, AL 36801 | 2016-07-06 |
| 1639574916 | Melissa Shah Kerber | Dentist | 2015 Interstate Drive, Opelika, AL 36801 | 2014-10-28 |
| 1588096200 | Carla Lynn Hudson | Nurse Practitioner | 2420 Village Professional Drive, Opelika, AL 36801 | 2013-08-05 |
| 1528404878 | Baowu Wang | Psychiatry & Neurology | 2506 Lambert Drive, Opelika, AL 36801 | 2013-05-14 |
| 1144566266 | Caremed Inc. | Durable Medical Equipment & Medical Supplies | 702 N Railroad Ave., Opelika, AL 36801 | 2012-12-18 |
| 1659635472 | Meshia Kerry-ann Wallace | Internal Medicine | 2412 Village Professional Dr S, Opelika, AL 36801 | 2012-06-26 |
| 1558651570 | Amanda Mamie Reimer | Psychiatry & Neurology | 2570 Village Professional Park, Opelika, AL 36801 | 2011-04-11 |
| 1356640569 | Mary Neal Gipson | Marriage & Family Therapist | 218 S. 8th St., Opeika, AL 36801 | 2011-03-28 |
| Find all providers in zip 36801 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821077413 | Richard Mcconnell Freeman | Pediatrics | 2901 Corporate Park Dr, Opelika, AL 36801-7283 | 2006-01-11 |
| 1316099203 | Richard M. Freeman, M.d., PC | Pediatrics | 2901 Corporate Park Dr, Opelika, AL 36801-7283 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154810224 | Kids Clinic Pediatric and Adolescent Medicine | Pediatrics | 101 Stephen J White Memorial Blvd, Talladega, AL 35160-2106 | 2018-05-04 |
| 1023452406 | Samantha Veronica Hill | Pediatrics | The University of Alabama At Birmingham, 1600 5th Ave South, Birmingham, AL 35233 | 2013-04-29 |
| 1285960674 | Just Kidz Medical LLC | Pediatrics | 5466 Old Shell Rd, Ste. A, Mobile, AL 36608-3046 | 2009-10-20 |
| 1508011297 | Marshall Medical Center South Pediatric Hospital Services | Pediatrics | 227 Brittany Rd, Guntersville, AL 35976-5766 | 2008-11-21 |
| 1427252766 | Medpeds of Dothan Inc | Pediatrics | 318 Westgate Pkwy Ste 2, Dothan, AL 36303-2963 | 2007-06-12 |
| 1295871556 | Evelyn Simpkins Evans | Pediatrics | Health Services, Inc, 1845 Cherry Street, Montgomery, AL 36107-0365 | 2007-01-30 |
| 1033276035 | Brenda Layton Mcgivern | Pediatrics | 300 W Pettus St, Demopolis, AL 36732-2830 | 2007-01-02 |
| 1205905361 | Imc-pediatric & Adolescent Medicine, LLC | Pediatrics | 4013 Airport Blvd Ste C, Mobile, AL 36608-2201 | 2006-11-06 |
| 1063511582 | Adolescent & Pediatric Associates | Pediatrics | 2611 Woodley Park Dr, Montgomery, AL 36116-3834 | 2006-09-21 |
| 1588683262 | Milton Stanhope Brasfield IIi | Pediatrics | 105 Hwy 80 East, Suite 205, Demopolis, AL 36732 | 2006-07-19 |
| Find all providers with the same taxonomy | ||||
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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.