Healthcare Provider Details

I. General information

NPI: 1184913899
Provider Name (Legal Business Name): MICHAEL DENIS ROYSTER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2011
Last Update Date: 07/26/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 PARK ST
HYANNIS MA
02601-5230
US

IV. Provider business mailing address

47 POPPLE BOTTOM ROAD
SANDWICH MA
02563
US

V. Phone/Fax

Practice location:
  • Phone: 508-862-5976
  • Fax:
Mailing address:
  • Phone: 504-258-0346
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number258692
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: