Individual provider Active NPI

Joanna Boydston, MD

  • Obstetrics & Gynecology Physician
  • Colorado Springs, CO
National Provider Identifier
1629124300
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
47723 Issued in CO
Practice address
6011 E Woodmen Rd
Suite 305
Colorado Springs, CO 80923-2602
Phone
(719) 884-9962
Fax
(719) 884-9963
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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 47723 CO Primary

Addresses

Primary practice location

6011 E Woodmen Rd
Suite 305
Colorado Springs, CO 80923-2602

Mailing address

6011 E Woodmen Rd
Suite 305
Colorado Springs, CO 80923-2602
Phone (719) 884-9962

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20121022000215 CO Practitioner - Obstetrics/Gynecology 8426208851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Texas a & M University System, HSC, College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exceptional Care for Women PLLCGroup PAC ID 7618026618, 4 clinicians

Practice addresses (Care Compare)

6011 E Woodmen Rd
Suite 305
Colorado Springs, CO 80923-2604
Phone (719) 884-9962

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47723COMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Care for Women, PLLC CurrentSince Sep 16, 2012 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

6011 E Woodmen Rd
Ste 305
Colorado Springs, CO 80923
Phone (719) 322-6770

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370563200000",
    "number": "1629124300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 E WOODMEN RD",
            "address_2": "SUITE 305",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232602",
            "telephone_number": "719-884-9962",
            "fax_number": "719-884-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 E WOODMEN RD",
            "address_2": "SUITE 305",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232602",
            "telephone_number": "719-884-9962",
            "fax_number": "719-884-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYDSTON",
        "first_name": "JOANNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2013-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "47723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.