Active NPI
Jenny Lee Boyle, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Lewisburg, PA
National Provider Identifier
1336169390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MD029423E
- Practice address
- 1 Hospital Dr
Lewisburg, PA 17837-9350 - Phone
- (570) 522-2510
- Fax
- (570) 768-3911
- NPI assigned
- Jul 20, 2006
- 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 |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | MD029423E | PA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD029423E | PA | Primary |
Addresses
Primary practice location
1 Hospital Dr
Lewisburg, PA 17837-9350
Mailing address
1 Hospital Dr
Suite 306
Lewisburg, PA 17837-9314
Phone (570) 522-4110
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10933540004 | Medicaid | PA | |
| 50010277 | Other | PA | CAPITAL BLUE CROSS |
| 321847 | Other | PA | HEALTH AMERICA |
| 410394 | Other | PA | BLUE SHIELD |
| P00004773 | Other | PA | RAILROAD MEDICARE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489708800000",
"number": "1336169390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOSPITAL DR",
"address_2": "SUITE 306",
"city": "LEWISBURG",
"state": "PA",
"postal_code": "178379314",
"telephone_number": "570-522-4110",
"fax_number": "570-768-3911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOSPITAL DR",
"city": "LEWISBURG",
"state": "PA",
"postal_code": "178379350",
"telephone_number": "570-522-2510",
"fax_number": "570-768-3911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYLE",
"first_name": "JENNY",
"middle_name": "LEE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2017-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "PA",
"license": "MD029423E",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "PA",
"license": "MD029423E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10933540004",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50010277",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA",
"identifier": "321847",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "410394",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00004773",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lewisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.