Individual provider Active NPI

John Boyle, MD

  • Otolaryngology Physician
  • Wilmington, NC
National Provider Identifier
1104357706
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
2022-00883 Issued in NC
Practice address
6727 Parker Farm Dr
Wilmington, NC 28405-3176
Phone
(910) 509-7474
NPI assigned
Mar 24, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 2022-00883 NC Primary

Addresses

Primary practice location

6727 Parker Farm Dr
Wilmington, NC 28405-3176

Mailing address

6727 Parker Farm Dr
Wilmington, NC 28405-3176
Phone (910) 509-7474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20220923002997 NC Practitioner - Otolaryngology 2668744582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilmington Health PLLCGroup PAC ID 6103722509, 364 clinicians

Practice addresses (Care Compare)

6727 Parker Farm Dr
Wilmington, NC 28405-3176
Phone (910) 341-1540

Hospital & facility affiliations

  • Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wilmington ASC LLC CurrentSince Aug 16, 2022 Accepting new patients
Wilmington Health PLLC CurrentSince Aug 16, 2022 Accepting new patients
Wha Medical Clinic PLLC Current Accepting new patients
Evms Academic Physicians and Surgeons Health Services Foundation Otolaryngology Past Accepting new patients

Locations

6727 Parker Farm Dr
Wilmington, NC 28405
Phone (910) 343-1031

1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705

Interoperability endpoints

  • Direct secure messaging: john.boyle.p1@direct.wilmingtonhealth.nextgenshare.com
  • Direct secure messaging: jboyle1243804@direct.novanthealth.org

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.

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": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1104357706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6727 PARKER FARM DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053176",
            "telephone_number": "910-509-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6727 PARKER FARM DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053176",
            "telephone_number": "910-509-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-24",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "2022-00883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.