Active NPI
Christopher Scott Boylan, MD
- Cardiovascular Disease Physician
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- H9813
- Practice address
- 2608 McDonald Rd
Tyler, TX 75701-5934 - Phone
- (903) 595-5514
- Fax
- (903) 594-2038
- NPI assigned
- Sep 13, 2005
- Last updated
- Aug 14, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | H9813 | TX | |
| Cardiovascular Disease Physician | 207RC0000X | H9813 | TX | Primary |
Addresses
Primary practice location
2608 McDonald Rd
Tyler, TX 75701-5934
Mailing address
901 Turtle Creek Dr
Tyler, TX 75701-1947
Phone (903) 596-3651
Other practice location 1
4604 NE Stallings Dr
Nacogdoches, TX 75965-1608
Phone (903) 315-4880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Cardiovascular Disease (Cardiology)
- Education
- New York Medical College, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
800 E Dawson St
Christus Trinity Clinic
Tyler, TX 75701-2036
Phone (903) 510-1186
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H9813 | TX | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Cardiovascular Disease | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Current | Accepting new patients |
Locations
1600 Broadway Ave
Gladewater, TX 75647
Phone (903) 315-5630
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
2114 E Rusk St
Jacksonville, TX 75766
Phone (903) 284-6105
703 E Marshall Ave
Ste 5008
Longview, TX 75601
Phone (903) 315-4800
707 E Marshall Ave
Longview, TX 75601
Phone (903) 315-4880
4604 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 559-8770
1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068
619 S Fleishel Ave
Ste 101
Tyler, TX 75701
Phone (903) 597-3822
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
910 E Houston St
Ste 550
Tyler, TX 75702
Phone (903) 510-8718
Interoperability endpoints
- cboylan104143@christushealth.direct-ci.net
Organizations & group practices 2
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.
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
Cardiovascular Disease
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carthage, TX
- NPI 1538667035
-
- General Acute Care Hospital
- Longview, TX
- NPI 1124092036
-
dba Longview Regional Medical Center
- General Acute Care Hospital
- Longview, TX
- NPI 1528026267
-
dba Christus Mother Frances Hospital Tyler
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1285629501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 TURTLE CREEK DR",
"city": "TYLER",
"state": "TX",
"postal_code": "757011947",
"telephone_number": "903-596-3651",
"fax_number": "903-594-2038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2608 MCDONALD RD",
"city": "TYLER",
"state": "TX",
"postal_code": "757015934",
"telephone_number": "903-595-5514",
"fax_number": "903-594-2038"
}
],
"practiceLocations": [
{
"address_1": "4604 NE Stallings Dr",
"address_purpose": "LOCATION",
"city": "Nacogdoches",
"state": "TX",
"postal_code": "759651608",
"country_code": "US",
"telephone_number": "903-315-4880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOYLAN",
"first_name": "CHRISTOPHER",
"middle_name": "SCOTT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-13",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "TX",
"license": "H9813",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "H9813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.