MEDICARE: JOHN ANDY ROYE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	9737	OK

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00409621	OTHER	OK	MEDICARE RAILROAD

General Provider Information

NPI Number	:	1942200712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN ANDY ROYE M.D.

Provider Business Mailing Address
First Line	:	6600 S YALE AVE
Second Line	:	STE 1400
City	:	TULSA
State	:	OK
Zip	:	74136-3310
Country	:	US
Telephone Number	:	918-488-6001
Fax Number	:

Provider Business Practice Location Address
First Line	:	6151 S YALE AVE
Second Line	:	STE 304
City	:	TULSA
State	:	OK
Zip	:	74136-1907
Country	:	US
Telephone Number	:	918-494-5300
Fax Number	:	918-494-5455

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	03/21/2008

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Directions to “ JOHN ANDY ROYE M.D.” Practice Location

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