Active NPI
Donald L Boyd, M. D.
- Orthopaedic Surgery Physician
- Fernandina, FL
National Provider Identifier
1598062168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 10484
- Practice address
- 30 Beach Walker Rd
Fernandina, FL 32034-6600 - Phone
- (904) 432-8111
- NPI assigned
- Feb 17, 2011
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 10484 | GA | Primary |
Addresses
Primary practice location
30 Beach Walker Rd
Fernandina, FL 32034-6600
Mailing address
30 Beach Walker Rd
Fernandina, FL 32034-6600
Phone (904) 432-8111
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 |
|---|---|---|---|
| 10484 | GA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297900800000",
"number": "1598062168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 BEACH WALKER RD",
"city": "FERNANDINA",
"state": "FL",
"postal_code": "320346600",
"telephone_number": "904-432-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 BEACH WALKER RD",
"city": "FERNANDINA",
"state": "FL",
"postal_code": "320346600",
"telephone_number": "904-432-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "DONALD",
"middle_name": "L",
"credential": "M. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-17",
"last_updated": "2011-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": "10484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fernandina, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.