Organization Active NPI

Boynton Quality Medical Center

  • Internal Medicine Physician
  • Boynton Beach, FL
National Provider Identifier
1629484886
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
72378 Issued in FL
Legal business name
BOYNTON QUALITY MEDICAL CENTER
Practice address
11082 S Military TRL
B46
Boynton Beach, FL 33436-7217
Phone
(561) 740-3299
Fax
(561) 740-3749
NPI assigned
Jul 9, 2014
Last updated
Sep 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Authorized official

Name
Dr. Pamela Angela Myers, MDNPI 1104860105
Title
Owner
Phone
(561) 740-3299

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 72378 FL Primary

Addresses

Primary practice location

11082 S Military TRL
B46
Boynton Beach, FL 33436-7217

Mailing address

11082 S Military TRL # B46
Boynton Beach, FL 33436-7217
Phone (561) 740-3299

Other identifiers 2

IdentifierTypeStateIssuer
1104860105OtherNPI
72378OtherFLMEDICAL LICENSE

Other names 1

  • Pamela A. Myers M.D. Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410134400000",
    "number": "1629484886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11082 S MILITARY TRL # B46",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367217",
            "telephone_number": "561-740-3299",
            "fax_number": "561-740-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11082 S MILITARY TRL",
            "address_2": "B46",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367217",
            "telephone_number": "561-740-3299",
            "fax_number": "561-740-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYNTON QUALITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-09-08",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-740-3299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "72378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1104860105",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "72378",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pamela A. Myers M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.