Mark E. Boykiw, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD021715E Issued in PA

Legal business name

MARK E. BOYKIW, M.D.

Practice address

841 Hospital Rd
Suite 3100
Indiana, PA 15701-3620

Phone

(724) 349-3170

Fax

(724) 349-3410

NPI assigned

May 26, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark E Boykiw, M.D.NPI 1538160718

Title

Sole Proprietor

Phone

(724) 349-3170

Specialties & licenses 1

Addresses

Other identifiers 6

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark E Boykiw, M.D.

  • Surgery Physician
  • Indiana, PA
  • NPI 1538160718
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528014909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 HOSPITAL ROAD",
            "address_2": "SUITE 3100",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "15701",
            "telephone_number": "724-349-3170",
            "fax_number": "724-349-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 HOSPITAL RD",
            "address_2": "SUITE 3100",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013620",
            "telephone_number": "724-349-3170",
            "fax_number": "724-349-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK E. BOYKIW, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOYKIW",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "724-349-3170",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD021715E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008638910003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "252167",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8169517",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1503139",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FUNDS",
            "identifier": "1277920",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5479306",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leonard Eric Maliver, M.D.
• Holly Ann Mallory, BS
• Doug Maniccia, LPN
• Kristi Lynn Manners, CRNP
• Jodie Michelle Margita, MPT, CLT
• Marko Family Dentistry
• Joseph E Marko Jr., D.M.D.
• Janelle Kisiday Marshall, AU.D,
• Shawna M. Marshall, PA-C
• Holly M Marusa, M ED.

• Specialist in Indiana, PA
• Providers in Indiana, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.