Individual provider Active NPI

Mary C Boyd, MD

  • Obstetrics & Gynecology Physician
  • Beverly, MA
National Provider Identifier
1629029525
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
159395 Issued in MA
Practice address
83 Herrick St
Ste 2004
Beverly, MA 01915
Phone
(978) 927-4800
Fax
(978) 232-5772
NPI assigned
May 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 159395 MA Primary

Addresses

Primary practice location

83 Herrick St
Ste 2004
Beverly, MA 01915

Mailing address

83 Herrick St
Ste 2004
Beverly, MA 01915
Phone (978) 927-4800

Other identifiers 3

IdentifierTypeStateIssuer
131168OtherMAHARVARD PILGRIM
159395OtherMATUFTS
3203557MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051202000494 MA Practitioner - Obstetrics/Gynecology 3072533298 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Warren Alpert Medical School of Brown University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Essex County OBGYN Assoc IncGroup PAC ID 6204829062, 26 clinicians

Practice addresses (Care Compare)

83 Herrick St
Suite 2004
Beverly, MA 01915-2757
Phone (978) 927-4800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
159395MAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Essex County OBGYN Assoc Inc Obstetrics & Gynecology CurrentSince Jul 19, 1999 Accepting new patients
Beth Israel Lahey Health Specialty Care, Inc. CurrentSince Jan 1, 2019 Accepting new patients
Northeast Hospital Corporation Past Accepting new patients

Locations

85 Herrick St
Beverly, MA 01915
Phone (978) 816-3700

83 Herrick St
Ste 3002
Beverly, MA 01915
Phone (978) 750-8300

83 Herrick St
Ste 2004
Beverly, MA 01915
Phone (978) 927-4800

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

480 Maple St
Ste 303
Danvers, MA 01923

140 Commonwealth Ave
Ste 208
Danvers, MA 01923
Phone (978) 232-5538

140 Commonwealth Ave
Danvers, MA 01923
Phone (978) 750-0200

480 Maple St
Ste 3
Danvers, MA 01923
Phone (978) 927-4800

62 Brown St
Haverhill, MA 01830
Phone (978) 521-6555

Interoperability endpoints

  • Direct secure messaging: mboyd45095@direct.bilh.masshiway.net

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Beverly Hospital, Addison Gilbert Hospital, Bay Ridge HospitalBeverly, MA, CCN 220033 Hospital Corporate Director Oct 1, 2019
Beverly Hospital, Addison Gilbert Hospital, Bayridge HospitalBeverly, MA, CCN 22S033 Hospital Corporate Director Oct 1, 2019

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1629029525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 HERRICK ST",
            "address_2": "STE 2004",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "01915",
            "telephone_number": "978-927-4800",
            "fax_number": "978-232-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 HERRICK ST",
            "address_2": "STE 2004",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "01915",
            "telephone_number": "978-927-4800",
            "fax_number": "978-232-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "MARY",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "159395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "131168",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "159395",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3203557",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

Verify at the official NPI Registry.