Healthcare Provider Details

I. General information

NPI: 1467680884
Provider Name (Legal Business Name): CHRISTOPHER GORDON ROY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2009
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 HEALTHCARE DR STE 209
BIDDEFORD ME
04005-9450
US

IV. Provider business mailing address

9 HEALTHCARE DR STE 209
BIDDEFORD ME
04005-9450
US

V. Phone/Fax

Practice location:
  • Phone: 207-283-6408
  • Fax: 207-294-3558
Mailing address:
  • Phone: 207-283-6408
  • Fax: 207-294-3558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD25030
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberMD25030
License Number StateME
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberMD25030
License Number StateME
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD25030
License Number StateME
# 5
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberMD25030
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: