Susan W. Boyd, MD, LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

19179 Issued in LA

Legal business name

SUSAN W. BOYD, MD, LLC

Practice address

555 S Ryan St
Lake Charles, LA 70601-5724

Phone

(337) 439-0555

Fax

(337) 436-6223

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Susan Webb Boyd, MD

Title

Owner

Phone

(337) 439-0555

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1164567327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S RYAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015724",
            "telephone_number": "337-439-0555",
            "fax_number": "337-436-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S RYAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015724",
            "telephone_number": "337-439-0555",
            "fax_number": "337-436-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN W. BOYD, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "WEBB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-439-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": "19179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1388955",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Otolaryngology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.