Active NPI
Michael Boykin, MD
- Neurology Physician
- West Monroe, LA
National Provider Identifier
1063471670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 10982
- Practice address
- 122 Professional Drive
West Monroe, LA 71291 - Phone
- (318) 807-4611
- Fax
- (318) 807-4615
- NPI assigned
- Mar 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 10982 | LA | Primary |
Addresses
Primary practice location
122 Professional Drive
West Monroe, LA 71291
Mailing address
122 Professional Drive
West Monroe, LA 71291
Phone (318) 807-4611
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1148113 | Medicaid | LA | |
| H05015 | Other | LA | VANTAGE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10982 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SFN Professional Management | Past | Accepting new patients | |
| Physician Billing SFN | Past | Accepting new patients | |
| Michael Edward Boykin, M.D., a Medical Corporation | Past | Accepting new patients | |
| Columbia Healthcare Systems of la, Inc | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medical Specialty Clinic/Center
- Monroe, LA
- NPI 1528228962
-
- Specialist
- Monroe, LA
- NPI 1972559888
-
- Neurological Surgery Physician
- Monroe, LA
- NPI 1306893086
-
- Registered Nurse
- Monroe, LA
- NPI 1285681049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408406400000",
"number": "1063471670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 PROFESSIONAL DRIVE",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "71291",
"telephone_number": "318-807-4611",
"fax_number": "318-807-4615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 PROFESSIONAL DRIVE",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "71291",
"telephone_number": "318-807-4611",
"fax_number": "318-807-4615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYKIN",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-22",
"last_updated": "2014-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "LA",
"license": "10982",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1148113",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VANTAGE",
"identifier": "H05015",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.