Active NPI
Nicholius De'Aunte Vincent Boyd
- Transportation Broker
- Shaker Heights, OH
National Provider Identifier
1497608202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transportation Broker
- License
- TG917291
- Practice address
- 3601 Lee Rd
Shaker Heights, OH 44120-5108 - Phone
- (216) 716-8696
- Fax
- (216) 472-8565
- NPI assigned
- Feb 19, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Transportation Broker | 347E00000X | TG917291 | OH | Primary |
Addresses
Primary practice location
3601 Lee Rd
Shaker Heights, OH 44120-5108
Mailing address
10545 Remington Ave
Cleveland, OH 44108-1320
Phone (216) 716-8696
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TG917291 | OH | MD | Transportation Broker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharaoh'S Transport LLC | Transportation Broker | Current | Accepting new patients |
Locations
3601 Lee Rd
Shaker Hts, OH 44120
Phone (216) 716-8696
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.
-
- Transportation Broker
- Shaker Heights, OH
- NPI 1316876543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771804800000",
"number": "1497608202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10545 REMINGTON AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441081320",
"telephone_number": "216-716-8696",
"fax_number": "216-472-8565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 LEE RD",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "441205108",
"telephone_number": "216-716-8696",
"fax_number": "216-472-8565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "NICHOLIUS",
"middle_name": "DE'AUNTE VINCENT",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-02-19",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": "OH",
"license": "TG917291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shaker Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.