Active NPI
John C Boyd, PA-C
- Physician Assistant
- Spokane, WA
National Provider Identifier
1073582847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10001691
- Practice address
- 9310 N Division St
Spokane, WA 99218-1227 - Phone
- (509) 789-2836
- Fax
- (509) 789-3113
- NPI assigned
- Mar 15, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10001691 | WA | Primary |
Addresses
Primary practice location
9310 N Division St
Spokane, WA 99218-1227
Mailing address
601 W 5TH Ave
Suite 400
Spokane, WA 99204-2715
Phone (509) 344-2663
Other practice location 1
601 W 5th Ave Ste 500
Spokane, WA 99204-2756
Phone (509) 344-8672
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 379109600 | Other | WA | OWCP |
| 000010149520 | Other | ID | REGENCE BLUE SHIELD OF ID |
| 180730 | Other | WA | DEPT OF LABOR & INDUSTRIE |
| 8931641 | Other | WA | CRIME VICTIMS |
| 970000816 | Other | WA | RR MEDICARE |
| 8374761 | Medicaid | WA | |
| KQ563 | Other | ID | BLUE CROSS OF IDAHO |
| 7367 | Other | WA | GROUP HEALTH NW |
| 2595BO | Other | WA | ASURIS NW HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Alabama School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12410 E Sinto Ave
Suite 101
Spokane Valley, WA 99216-2258
Phone (509) 789-2955
212 E Central Ave
Suite 140
Spokane, WA 99208-6289
Phone (509) 465-1300
601 W 5TH Ave
Suite 400
Spokane, WA 99204-2715
Phone (509) 344-2663
9310 N Division St
Spokane, WA 99218-1227
Phone (509) 789-2836
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA10001691 | WA | MD | Physician Assistant |
Interoperability endpoints
- john.boyd.1@16598.direct.athenahealth.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731628800000",
"number": "1073582847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 W 5TH AVE",
"address_2": "SUITE 400",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042715",
"telephone_number": "509-344-2663",
"fax_number": "509-624-9179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9310 N DIVISION ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992181227",
"telephone_number": "509-789-2836",
"fax_number": "509-789-3113"
}
],
"practiceLocations": [
{
"address_1": "601 W 5th Ave Ste 500",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992042756",
"country_code": "US",
"telephone_number": "509-344-8672",
"fax_number": "509-747-7838",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOYD",
"first_name": "JOHN",
"middle_name": "C",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-15",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA10001691",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OWCP",
"identifier": "379109600",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD OF ID",
"identifier": "000010149520",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR & INDUSTRIE",
"identifier": "180730",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRIME VICTIMS",
"identifier": "8931641",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "970000816",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8374761",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF IDAHO",
"identifier": "KQ563",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH NW",
"identifier": "7367",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASURIS NW HEALTH",
"identifier": "2595BO",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.