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Individual provider Active NPI

Christie Lynn Boils, MD

  • Anatomic Pathology Physician
  • Little Rock, AR
National Provider Identifier
1548469745
Registry record updated Jul 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
E-6895 Issued in AR
Practice address
10810 Executive Center Dr
Suite 100
Little Rock, AR 72211-4354
Phone
(501) 604-2695
Fax
(501) 604-2699
NPI assigned
Jul 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X E-6895 AR Primary

Addresses

Primary practice location

10810 Executive Center Dr
Suite 100
Little Rock, AR 72211-4354

Mailing address

10810 Executive Center Dr
Suite 100
Little Rock, AR 72211-4354
Phone (501) 604-2695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120327000154 AR Practitioner - Pathology 8527228741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Wayne State University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephropathology Associates, PLCGroup PAC ID 6901707405, 30 clinicians

Practice addresses (Care Compare)

10810 Executive Ctr Dr
Suite 100
Little Rock, AR 72211-4386
Phone (501) 604-2695

Hospital & facility affiliations

  • Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067
  • Bethesda North Hospital, Cincinnati, OH, CCN 360179
  • Centra Health - Lynchburg Gen Hospital Hospital, Lynchburg, VA, CCN 490021
  • Legacy Good Samaritan Medical Center Hospital, Portland, OR, CCN 380017
  • Sanford Usd Medical Center Hospital, Sioux Falls, SD, CCN 430027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-6895ARMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephropathology Associates, PLC Anatomic Pathology CurrentSince Feb 9, 2012 Accepting new patients
Ell Pathology Lab, LLC Past Accepting new patients
Nephropathology Associates, PLC Anatomic Pathology Past Accepting new patients

Locations

10810 Executive Center Dr
Ste 100
Little Rock, AR 72211
Phone (501) 604-2695

Organizations & group practices 3

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310601600000",
    "number": "1548469745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 EXECUTIVE CENTER DR",
            "address_2": "SUITE 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114354",
            "telephone_number": "501-604-2695",
            "fax_number": "501-604-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 EXECUTIVE CENTER DR",
            "address_2": "SUITE 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114354",
            "telephone_number": "501-604-2695",
            "fax_number": "501-604-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOILS",
        "first_name": "CHRISTIE",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2011-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "AR",
            "license": "E-6895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.