Individual provider Active NPI

Stephen Glenn Boyce, M.D.

  • Surgery Physician
  • Knoxville, TN
National Provider Identifier
1093822553
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD 22153 Issued in TN
Practice address
10810 Parkside Dr Ste 305
Knoxville, TN 37934-1986
Phone
(865) 392-3971
Fax
(865) 392-3972
NPI assigned
Aug 23, 2006
Last updated
Sep 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD 22153 TN Primary

Addresses

Primary practice location

10810 Parkside Dr Ste 305
Knoxville, TN 37934-1986

Mailing address

10810 Parkside Dr Ste 305
Knoxville, TN 37934-1986
Phone (865) 392-3971

Other identifiers 1

IdentifierTypeStateIssuer
Q002850MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stephen.boyce.1@4694.direct.athenahealth.com

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

LicenseStateTypeSpecialty
MD 22153TNMDSurgery Physician

Interoperability endpoints

  • Direct secure messaging: stephen.boyce.1@4694.direct.athenahealth.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1093822553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 PARKSIDE DR STE 305",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341986",
            "telephone_number": "865-392-3971",
            "fax_number": "865-392-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 PARKSIDE DR STE 305",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341986",
            "telephone_number": "865-392-3971",
            "fax_number": "865-392-3972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYCE",
        "first_name": "STEPHEN",
        "middle_name": "GLENN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD 22153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q002850",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephen.boyce.1@4694.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "10810 Parkside Dr Ste 305",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379341986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.