Active NPI
Sharyl Magnuson Boyle, MD
- Family Medicine Physician
- Newport, OR
National Provider Identifier
1306879994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD27207
- Practice address
- 1010 SW Coast Hwy Ste 203
Newport, OR 97365-5215 - Phone
- (541) 265-4947
- Fax
- (541) 574-7670
- NPI assigned
- Jul 8, 2006
- Reactivated
- Aug 16, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 89-252 | NM | |
| Family Medicine Physician | 207Q00000X | MD27207 | OR | Primary |
Addresses
Primary practice location
1010 SW Coast Hwy Ste 203
Newport, OR 97365-5215
Mailing address
1010 SW Coast Hwy Ste 203
Newport, OR 97365-5215
Phone (541) 265-4947
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21329 | Medicaid | NM |
Other names 1
- Sharyl Magnuson Boyle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89-252 | NM | MD | Family Medicine Physician |
Interoperability endpoints
- sboyle536992@oc.providencedirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638230400000",
"number": "1306879994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 SW COAST HWY STE 203",
"city": "NEWPORT",
"state": "OR",
"postal_code": "973655215",
"telephone_number": "541-265-4947",
"fax_number": "541-574-7670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 SW COAST HWY STE 203",
"city": "NEWPORT",
"state": "OR",
"postal_code": "973655215",
"telephone_number": "541-265-4947",
"fax_number": "541-574-7670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGNUSON BOYLE",
"first_name": "SHARYL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-08",
"last_updated": "2021-11-30",
"certification_date": "2021-11-30",
"deactivation_date": "2019-08-12",
"reactivation_date": "2019-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "89-252",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD27207",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "21329",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHARYL",
"last_name": "BOYLE",
"middle_name": "MAGNUSON",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Newport, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.