Active NPI
Debra Boyer, MD
- Family Medicine Physician
- Hampton, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101036816
- Practice address
- 191 Fox Hill Rd
Suite D
Hampton, VA 23669-2360 - Phone
- (757) 850-1311
- Fax
- (757) 850-7315
- NPI assigned
- Oct 29, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101036816 | VA | Primary |
Addresses
Primary practice location
191 Fox Hill Rd
Suite D
Hampton, VA 23669-2360
Mailing address
856 J Clyde Morris Blvd
Suite a
Newport News, VA 23601-1318
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184615262 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101036816 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Physician Services Inc | Current | Accepting new patients | |
| Riverside Physician Services Inc | Current | Accepting new patients | |
| Riverside Physician Services, Inc. | Family Medicine | Current | Accepting new patients |
Locations
191 Fox Hill Rd
Ste D
Hampton, VA 23669
Phone (757) 850-1311
191 Fox Hill Rd
Hampton, VA 23669
Phone (757) 850-1311
856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900
4032 Campbell Rd
Ste A
Newport News, VA 23602
Phone (757) 534-5600
858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343
Interoperability endpoints
- dboyer11571@direct.rivhs.com
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 and National Provider Directory roles.
-
- Gastroenterology Physician
- Newport News, VA
- NPI 1194929026
-
- Gastroenterology Physician
- Williamsburg, VA
- NPI 1083867311
-
- Family Medicine Physician
- Newport News, VA
- NPI 1710020623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380499200000",
"number": "1184615262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "856 J CLYDE MORRIS BLVD",
"address_2": "SUITE A",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236011318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 FOX HILL RD",
"address_2": "SUITE D",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236692360",
"telephone_number": "757-850-1311",
"fax_number": "757-850-7315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYER",
"first_name": "DEBRA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-29",
"last_updated": "2013-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101036816",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1184615262",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.