Active NPI
Stephen Boyle, M.D.
- Surgery Physician
- Portland, IN
National Provider Identifier
1306865142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 01057046A
- Practice address
- 510 W Votaw St Ste B
Portland, IN 47371-1322 - Phone
- (260) 726-2890
- Fax
- (260) 726-3131
- NPI assigned
- Jul 19, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 01057046A | IN | Primary |
Addresses
Primary practice location
510 W Votaw St Ste B
Portland, IN 47371-1322
Mailing address
510 W Votaw St Ste B
Portland, IN 47371-1322
Phone (260) 726-2890
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00156713 | Other | IN | RAILROAD MEDICARE |
| 000000346619 | Other | IN | BC/BS |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jay County Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Portland, IN
- NPI 1467601757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306865142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 W VOTAW ST STE B",
"city": "PORTLAND",
"state": "IN",
"postal_code": "473711322",
"telephone_number": "260-726-2890",
"fax_number": "260-726-3131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 W VOTAW ST STE B",
"city": "PORTLAND",
"state": "IN",
"postal_code": "473711322",
"telephone_number": "260-726-2890",
"fax_number": "260-726-3131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYLE",
"first_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "01057046A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00156713",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "000000346619",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.