Active NPI
Susan W. Boyd, MD, LLC
- Otolaryngology Physician
- Lake Charles, LA
National Provider Identifier
1164567327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 19179
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 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 DirectoryPractitioners & 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.
-
- Otolaryngology Physician
- Lake Charles, LA
- NPI 1114908688
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.