Individual provider Active NPI

Zachary T Boyd, M.D.

  • Family Medicine Physician
  • Berlin, OH
National Provider Identifier
1144531948
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35121573 Issued in OH
Practice address
4907A Dalbey Lane
Berlin, OH 44610-1240
Phone
(330) 893-2341
Fax
(330) 893-3027
NPI assigned
Jun 25, 2010
Last updated
May 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35121573 OH Primary

Addresses

Primary practice location

4907A Dalbey Lane
Berlin, OH 44610-1240

Mailing address

PO Box 366
Berlin, OH 44610-0366
Phone (330) 893-2341

Other identifiers 1

IdentifierTypeStateIssuer
0088781MedicaidOH

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
I20130830000316 OH Practitioner - Family Practice 5395988828 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Holmes Family Care IncGroup PAC ID 4587642947, 4 clinicians

Practice addresses (Care Compare)

4907 A Dalbey LN
Berlin, OH 44610
Phone (330) 893-2341

PO Box
Berlin, OH 44610

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35121573OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Holmes Family Care Inc Family Medicine Current Accepting new patients
East Holmes Family Care Inc Family Medicine Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: zacharyboyd@ehfci.allscriptsdirect.net

Organizations & group practices 3

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 5

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": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1144531948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "city": "BERLIN",
            "state": "OH",
            "postal_code": "446100366",
            "telephone_number": "330-893-2341",
            "fax_number": "330-893-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4907A DALBEY LANE",
            "city": "BERLIN",
            "state": "OH",
            "postal_code": "446101240",
            "telephone_number": "330-893-2341",
            "fax_number": "330-893-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "ZACHARY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-25",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35121573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0088781",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, OH

Sources for this page

Verify at the official NPI Registry.