Susan K Boyer, MD LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

103713 Issued in MO

Legal business name

SUSAN K BOYER, MD LLC

Practice address

9890 Clayton Rd
Suite 100
Saint Louis, MO 63124-1685

Phone

(314) 725-1515

Fax

(314) 222-6321

NPI assigned

Nov 14, 2011

Last updated

Feb 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Susan Boyer, MDNPI 1780733832

Title

Psychiatrist

Phone

(314) 725-1515

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

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.

• Susan Boyer, M.D.

  • Psychiatry Physician
  • Saint Louis, MO
  • NPI 1780733832
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1639456064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9890 CLAYTON RD",
            "address_2": "SUITE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241685",
            "telephone_number": "314-725-1515",
            "fax_number": "314-222-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9890 CLAYTON RD",
            "address_2": "SUITE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241685",
            "telephone_number": "314-725-1515",
            "fax_number": "314-222-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN K BOYER, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "BOYER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "314-725-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "MO",
            "license": "103713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1780733832",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Christine Surmeier, DPT
• Eleatha L Surratt, MD
• Sriyanshi Suryadevara, PA
• Susan D Purcell MD Dermatology LLC (Purcell Dermatology)
• Susan Hansen Psychotherapy LLC
• Susan K Newman LCSW LLC
• Susan Mary Underhill (Guidance For Growth, LLC)
• Susan Rosga Counseling LLC
• Anita L Susanka, RPH
• Suseela Samudrala MD PC (Metro Rehab Physicians)

• Exclusive Provider Organization in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Exclusive Provider Organization in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.