Active NPI
Iouri Boiko
- Forensic Pathology Physician
- Ft.Lauderdale, FL
National Provider Identifier
1114335874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Pathology Physician
- License
- ME100736
- Practice address
- 5301 SW 31 Ave
Ft.Lauderdale, FL 33312 - Phone
- (954) 805-8845
- NPI assigned
- Jul 25, 2014
- Last updated
- Jan 8, 2015
- 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 |
|---|---|---|---|---|
| Forensic Pathology Physician | 207ZF0201X | ME100736 | FL | Primary |
Addresses
Primary practice location
5301 SW 31 Ave
Ft.Lauderdale, FL 33312
Mailing address
2110 N 26TH Ave
Hollywood, FL 33020-1913
Phone (954) 774-0950
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME100736 | FL | MD | Forensic Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420675200000",
"number": "1114335874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 N 26TH AVE",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330201913",
"telephone_number": "954-774-0950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 SW 31 AVE",
"city": "FT.LAUDERDALE",
"state": "FL",
"postal_code": "33312",
"telephone_number": "954-805-8845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOIKO",
"first_name": "IOURI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-25",
"last_updated": "2015-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZF0201X",
"taxonomy_group": "",
"desc": "Pathology, Forensic Pathology",
"state": "FL",
"license": "ME100736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ft.Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.