Individual provider Active NPI

Philip G Boysen, MD

  • Anesthesiology Physician
  • Chapel Hill, NC
National Provider Identifier
1265483432
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD205270 Issued in LA
Practice address
101 Manning Dr
Chapel Hill, NC 27514-4220
Phone
(919) 966-4996
Fax
(919) 843-5515
NPI assigned
May 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD205270 LA Primary
Anesthesiology Physician 207L00000X 9401137 NC

Addresses

Primary practice location

101 Manning Dr
Chapel Hill, NC 27514-4220

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000

Other identifiers 1

IdentifierTypeStateIssuer
8917105MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120625000158 LA Practitioner - AnesthesiologyPractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 2769465343 Reassigns benefits to 1 organization
I20190219002711 MS Practitioner - Anesthesiology 2769465343 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD205270LAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital at Gulfport Current Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jan 30, 2019 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Memorial Hospital at Gulfport CurrentSince Mar 13, 2024 Accepting new patients
Ochsner Clinic, LLC CurrentSince Jun 1, 2012 Accepting new patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients
Ochsner Clinic LLC CurrentSince Jun 1, 2012 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jan 30, 2019 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Mar 13, 2024 Accepting new patients
Best Anesthesia, PLLC Anesthesiology CurrentSince Jan 21, 2024 Accepting new patients
Etas, PLLC Anesthesiology CurrentSince Jan 21, 2024 Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

1514 Jefferson Hwy
New Orleans, LA 70121

150 Reynoir St
Biloxi, MS 39530
Phone (228) 432-7817

965 Avent Dr
Ste 100A
Grenada, MS 38901
Phone (662) 227-7000

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

4500 13th St
Fl 2
Gulfport, MS 39501
Phone (228) 865-3281

4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

239 Bowling Green Rd
Lexington, MS 39095
Phone (662) 834-1321

18295 Emory Rd
West, MS 39192
Phone (662) 834-1321

Organizations & group practices 12

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1265483432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MANNING DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275144220",
            "telephone_number": "919-966-4996",
            "fax_number": "919-843-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYSEN",
        "first_name": "PHILIP",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "MD205270",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "9401137",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8917105",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.