Individual provider Active NPI

Casey Renee Boyce, M.D.

  • Obstetrics & Gynecology Physician
  • Franklin, OH
National Provider Identifier
1093847253
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35086447 Issued in OH
Practice address
200 Medical Center Dr
Suite 160
Franklin, OH 45005-5200
Phone
(513) 424-1440
NPI assigned
Mar 12, 2007
Last updated
Dec 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35086447 OH Primary

Addresses

Primary practice location

200 Medical Center Dr
Suite 160
Franklin, OH 45005-5200

Mailing address

200 Medical Center Dr
Ste 160
Middletown, OH 45005-2593
Phone (513) 424-1440

Other identifiers 3

IdentifierTypeStateIssuer
PO0419395OtherOHMEDICARE RAILROAD
000000518633OtherOHANTHEM
2772861MedicaidOH

Other names 1

  • Dr. Casey Renee Braddock Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070727000055 OH Practitioner - Obstetrics/Gynecology 7911008446 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wright State University Boonshoft School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hilltop Obstetrics and Gynecology, Inc.Group PAC ID 7517990898, 10 clinicians

Practice addresses (Care Compare)

200 Medical Ctr Dr
Suite 160
Middletown, OH 45005-2593
Phone (513) 424-1440

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35086447OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Specialists Inc Obstetrics & Gynecology CurrentSince Apr 14, 2015 Accepting new patients
Hilltop Obstetrics & Gynecology, Inc. Obstetrics & Gynecology CurrentSince Aug 1, 2007 Accepting new patients
Premier Health Specialists Inc CurrentSince Apr 14, 2015 Accepting new patients
Atrium Medical Center Past Accepting new patients

Locations

990 Belvedere Dr
Ste C
Lebanon, OH 45036

200 Medical Center Dr
Ste 160
Middletown, OH 45005
Phone (513) 424-1440

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1093847253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "address_2": "STE 160",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450052593",
            "telephone_number": "513-424-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "address_2": "SUITE 160",
            "city": "FRANKLIN",
            "state": "OH",
            "postal_code": "450055200",
            "telephone_number": "513-424-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYCE",
        "first_name": "CASEY",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35086447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "PO0419395",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000518633",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2772861",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASEY",
            "last_name": "BRADDOCK",
            "middle_name": "RENEE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Franklin, OH

Sources for this page

Verify at the official NPI Registry.