Individual provider Active NPI

Harry G. Boye, Jr., M.D.

  • Surgery Physician
  • Harriman, TN
National Provider Identifier
1629163373
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD012248 Issued in TN
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3005484MedicaidTN
4034493OtherTNAETNA
56130OtherTNBLUECROSS 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

LicenseStateTypeSpecialty
MD012248TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harry G. Boye Jr., M.D., PC Surgery PastSince Jul 31, 1987 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.

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.

Verify at the official NPI Registry.