Active NPI
Leona A Doyle, M.D.
- Anatomic Pathology Physician
- Boston, MA
National Provider Identifier
1063702561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 248309
- Practice address
- 75 Francis St
Department of Pathology Amory 3
Boston, MA 02115-6110 - Phone
- (617) 470-4413
- Fax
- (617) 566-3897
- NPI assigned
- Apr 18, 2011
- Last updated
- Jan 9, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 235765 | MA | |
| Anatomic Pathology Physician | 207ZP0101X | 248309 | MA | Primary |
Addresses
Primary practice location
75 Francis St
Department of Pathology Amory 3
Boston, MA 02115-6110
Mailing address
119 Freeman St
Apt 1
Brookline, MA 02446-3587
Phone (617) 470-4413
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 248309 | MA | MD | Anatomic Pathology Physician |
| 235765 | MA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483920000000",
"number": "1063702561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 FREEMAN ST",
"address_2": "APT 1",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024463587",
"telephone_number": "617-470-4413",
"fax_number": "617-566-3897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 FRANCIS ST",
"address_2": "DEPARTMENT OF PATHOLOGY AMORY 3",
"city": "BOSTON",
"state": "MA",
"postal_code": "021156110",
"telephone_number": "617-470-4413",
"fax_number": "617-566-3897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOYLE",
"first_name": "LEONA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-18",
"last_updated": "2017-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MA",
"license": "235765",
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "MA",
"license": "248309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.