Active NPI
Joseph Barry Boyd, M.D.
- Plastic Surgery Physician
- Winter Park, FL
National Provider Identifier
1417032699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- ME41419
- Practice address
- 200 Benmore Dr
Winter Park, FL 32792-4101 - Phone
- (407) 645-2007
- Fax
- (407) 645-4671
- NPI assigned
- Oct 26, 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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | ME41419 | FL | Primary |
Addresses
Primary practice location
200 Benmore Dr
Winter Park, FL 32792-4101
Mailing address
200 Benmore Dr
Winter Park, FL 32792-4101
Phone (407) 645-2007
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME41419 | FL | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417032699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 BENMORE DR",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327924101",
"telephone_number": "407-645-2007",
"fax_number": "407-645-4671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BENMORE DR",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327924101",
"telephone_number": "407-645-2007",
"fax_number": "407-645-4671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "JOSEPH",
"middle_name": "BARRY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "FL",
"license": "ME41419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Park, FL
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.