Individual
ROGER LEE ROYSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20956
NC
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
20956
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
20956
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10185
PARTNERS
—
05
—
2002473000
—
WV
01
—
50086401
RR MEDICARE
—
01
—
5270420
AETNA
—
05
—
5751152
—
VA
01
—
63988
MEDCOST
—
01
—
73493
BCBS
—
05
—
8973493
—
NC
05
—
Q20956
—
SC
Enumeration date
12/13/2005
Last updated
09/08/2017
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