Active NPI
Mary Beth Lewis-Boardman, MD
- Gynecology Physician
- Leesburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- ME93877
- Practice address
- 305 S Childs St
Leesburg, FL 34748-5922 - Phone
- (352) 348-3008
- Fax
- (352) 432-1479
- NPI assigned
- May 20, 2006
- Last updated
- Sep 17, 2024
- 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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | ME93877 | FL | Primary |
Addresses
Primary practice location
305 S Childs St
Leesburg, FL 34748-5922
Mailing address
16921 Florence View Dr
Montverde, FL 34756-3423
Phone (352) 348-3008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- JS Weill Medical College, Cornell University, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3000 Hunters Creek Blvd
Orlando, FL 32837-6901
Phone (407) 857-2502
5323 4TH Ave Circle E
Bradenton, FL 34208-5623
Phone (941) 745-5115
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME93877 | FL | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women's Care Florida LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Womens' Health Hospitalists, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Florida Woman Care, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Planned Parenthood of Florida, Inc. | Obstetrics & Gynecology | Past | Accepting new patients |
| Womencare PA | Past | Accepting new patients | |
| Andrew D Karen MD LLC | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233
5323 4th Avenue Cir E
Bradenton, FL 34208
Phone (941) 745-5115
3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 337-8814
2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551
4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333
5002 W Lemon St
Tampa, FL 33609
2102 Trinity Oaks Blvd
#171
Trinity, FL 34655
Phone (727) 376-7734
Interoperability endpoints
- mary.beth.lewis-boardman.1@26576.direct.athenahealth.com
- marybeth.lewis-boardman.1@2183.direct.athenahealth.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1013902923
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1205295599
-
- Obstetrics & Gynecology Physician
- Clermont, FL
- NPI 1962640383
-
dba Planned Parenthood of South Florida & The Treasure Coast Inc
- Complex Family Planning Physician
- West Palm Beach, FL
- NPI 1285898445
Obstetrics & Gynecology
-
- Specialist
- Orlando, FL
- NPI 1366529042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1255385779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16921 FLORENCE VIEW DR",
"city": "MONTVERDE",
"state": "FL",
"postal_code": "347563423",
"telephone_number": "352-348-3008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 S CHILDS ST",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347485922",
"telephone_number": "352-348-3008",
"fax_number": "352-432-1479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS-BOARDMAN",
"first_name": "MARY BETH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "FL",
"license": "ME93877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.