Active NPI
Harry G. Boye, Jr., M.D.
- Surgery Physician
- Harriman, TN
National Provider Identifier
1629163373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD012248
- Practice address
- 415 Devonia Street
Suite 302
Harriman, TN 37748 - Phone
- (865) 882-8372
- Fax
- (865) 882-8372
- NPI assigned
- Oct 4, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD012248 | TN | Primary |
Addresses
Primary practice location
415 Devonia Street
Suite 302
Harriman, TN 37748
Mailing address
415 Devonia Street
Suite 302
Harriman, TN 37748
Phone (865) 882-8372
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3005484 | Medicaid | TN | |
| 4034493 | Other | TN | AETNA |
| 56130 | Other | TN | BLUECROSS BLUE SHIELD |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD012248 | TN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harry G. Boye Jr., M.D., PC | Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Harriman, TN
- NPI 1780853838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629163373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 DEVONIA STREET",
"address_2": "SUITE 302",
"city": "HARRIMAN",
"state": "TN",
"postal_code": "37748",
"telephone_number": "865-882-8372",
"fax_number": "865-882-8372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 DEVONIA STREET",
"address_2": "SUITE 302",
"city": "HARRIMAN",
"state": "TN",
"postal_code": "37748",
"telephone_number": "865-882-8372",
"fax_number": "865-882-8372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYE, JR.",
"first_name": "HARRY",
"middle_name": "G.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TN",
"license": "MD012248",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3005484",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4034493",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUE SHIELD",
"identifier": "56130",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harriman, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.