Active NPI
Marilee F McBoyle, MD
- Surgery Physician
- Wichita, KS
National Provider Identifier
1225033012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0417882
- Practice address
- 707 N Emporia St
Wichita, KS 67214-3707 - Phone
- (316) 858-3470
- Fax
- (316) 858-3458
- NPI assigned
- Jun 17, 2005
- Last updated
- Jul 9, 2012
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 0417882 | KS | Primary |
Addresses
Primary practice location
707 N Emporia St
Wichita, KS 67214-3707
Mailing address
PO Box 1897
Wichita, KS 67201-1897
Phone (316) 268-3131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100167690B | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341792000000",
"number": "1225033012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1897",
"city": "WICHITA",
"state": "KS",
"postal_code": "672011897",
"telephone_number": "316-268-3131",
"fax_number": "316-291-4788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 N EMPORIA ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672143707",
"telephone_number": "316-858-3470",
"fax_number": "316-858-3458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBOYLE",
"first_name": "MARILEE",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-17",
"last_updated": "2012-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "KS",
"license": "0417882",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100167690B",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.