Organization Active NPI

Susan W. Boyd, MD, LLC

  • Otolaryngology Physician
  • Lake Charles, LA
National Provider Identifier
1164567327
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
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
Last updated
May 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Dr. Susan Webb Boyd, MDNPI 1114908688
Title
Owner
Phone
(337) 439-0555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 19179 LA Primary

Addresses

Primary practice location

555 S Ryan St
Lake Charles, LA 70601-5724

Mailing address

555 S Ryan St
Lake Charles, LA 70601-5724
Phone (337) 439-0555

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • 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.