Individual provider Active NPI

Scott Boydman, D.O.

  • Anesthesiology Physician
  • Delray Beach, FL
National Provider Identifier
1306841986
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OS10640 Issued in FL
Practice address
4800 Linton Blvd
BLDG B
Delray Beach, FL 33445-6584
Phone
(561) 495-9111
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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 34003183B OH
Anesthesiology Physician 207L00000X OS10640 FL Primary

Addresses

Primary practice location

4800 Linton Blvd
BLDG B
Delray Beach, FL 33445-6584

Mailing address

1901 Ulmerton Rd
Suite 450
Clearwater, FL 33762-2300
Phone (727) 573-7777

Other identifiers 2

IdentifierTypeStateIssuer
0493863MedicaidOH
001767800MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100218000630 FL Practitioner - Anesthesiology 6204970908 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3183OHMDRegistered Dietitian
OS10640FLMDAnesthesiology Physician
34003183BOHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Florida Anesthesiologists, LLC Anesthesiology CurrentSince Mar 1, 2015 Accepting new patients
KND Development 59, LLC CurrentSince Jan 9, 2018 Accepting new patients
Greater Florida Anesthesiologists, LLC Anesthesiology Current Accepting new patients
Sheridan Healthcorp Inc Anesthesiology Current Accepting new patients
Greater Florida Anesthesiologists, LLC Anesthesiology CurrentSince Mar 1, 2015 Accepting new patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Feb 1, 2010 Accepting new patients
Sheridan Healthcorp, Inc Anesthesiology CurrentSince Feb 1, 2010 Accepting new patients
Select Specialty Hospital - Palm Beach Inc. CurrentSince Apr 1, 2016 Accepting new patients
KND Development 59 LLC CurrentSince Jan 9, 2018 Accepting new patients
KND Development 59 LLC Current Accepting new patients
Clearwater Pain Management Associates Anesthesiology Past Accepting new patients
Greater Florida Anesthesiologists, LLC Anesthesiology Past Accepting new patients
Anesthesia Associates of Northern Ohio, Inc. Anesthesiology PastSince Jan 1, 1996 Accepting new patients

Locations

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

4800 Linton Blvd
Ste B
Delray Beach, FL 33445
Phone (561) 495-9111

1516 E Las Olas Blvd
Ft Lauderdale, FL 33301
Phone (954) 356-5142

2140 W 68th St
Hialeah, FL 33016
Phone (305) 822-4107

1859 Van Buren St
Hollywood, FL 33020
Phone (954) 920-0900

2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041

765 W Nasa Blvd
Melbourne, FL 32901
Phone (321) 409-4044

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

3060 Melaleuca Ln
Palm Springs, FL 33461
Phone (561) 336-7000

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

5555 W Blue Heron Blvd
Riviera Beach, FL 33418
Phone (561) 659-1000

460 N State Road 7
Royal Palm Beach, FL 33411
Phone (561) 792-7333

900 Carillon Pkwy
Ste 205
St Petersburg, FL 33716
Phone (727) 561-2710

3030 6th St S
St Petersburg, FL 33705
Phone (727) 894-8719

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1306841986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 ULMERTON RD",
            "address_2": "SUITE 450",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337622300",
            "telephone_number": "727-573-7777",
            "fax_number": "954-598-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 LINTON BLVD",
            "address_2": "BLDG B",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456584",
            "telephone_number": "561-495-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYDMAN",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "34003183B",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "OS10640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0493863",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001767800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.