Basic Information
| Provider Information | |||||||||
| NPI: | 1457351918 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MOREIRA | ||||||||
| FirstName: | ROY | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 411 PARKWAY | ||||||||
| Address2: | |||||||||
| City: | GREENSBORO | ||||||||
| State: | NC | ||||||||
| PostalCode: | 274011644 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3365740464 | ||||||||
| FaxNumber: | 3365740467 | ||||||||
| Practice Location | |||||||||
| Address1: | 411 PARKWAY | ||||||||
| Address2: | |||||||||
| City: | GREENSBORO | ||||||||
| State: | NC | ||||||||
| PostalCode: | 274011644 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3365740464 | ||||||||
| FaxNumber: | 3365740467 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/27/2005 | ||||||||
| LastUpdateDate: | 05/20/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 9400106 | NC | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 460480116 | 01 | ONE HEALTH | OTHER | 8960651 | 01 | CAROLINA ACCESS | OTHER | 460480116 | 01 | FOCUS BEECH STREET | OTHER | 834787 | 01 | OPTIMUM C | OTHER | 460480116 | 01 | GUARDIAN MEDCOST | OTHER | 460480116 | 01 | HEALTHCARE SAVINGS | OTHER | 460480116 | 01 | PHCS | OTHER | 460480116 | 01 | PRIMARY CARE PHYSICIAN | OTHER | 834787 | 01 | MAMSI | OTHER | 460480116 | 01 | GREAT WEST ONE HEALTH | OTHER | 5981 | 01 | PARTNERS MCA | OTHER | 460480116 | 01 | FIRST HEALTH | OTHER | 4552971 | 01 | AETNA | OTHER | 5981 | 01 | PARTNERS | OTHER | 110242882 | 01 | RRM | OTHER | 460480116 | 01 | CIGNA | OTHER | 60651 | 01 | NC | BCBS | OTHER | 8960651 | 05 | NC | MEDICAID |