Organization Active NPI

Sharon L. Boyer DO PLLC

  • Gynecology Physician
  • Mesa, AZ
National Provider Identifier
1659566339
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
4163 Issued in AZ
Legal business name
SHARON L. BOYER DO PLLC
Practice address
4824 E Baseline Rd Ste 140
Mesa, AZ 85206-4680
Phone
(480) 969-5613
Fax
(480) 844-0622
NPI assigned
Sep 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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

Authorized official

Name
Sharon L Boyer, DO
Title
Owner/Physician
Phone
(480) 969-5613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 4163 AZ Primary

Addresses

Primary practice location

4824 E Baseline Rd Ste 140
Mesa, AZ 85206-4680

Mailing address

4824 E Baseline Rd Ste 140
Mesa, AZ 85206-4680
Phone (480) 969-5613

Other names 1

  • Athena Womens Medical Center Other name

National Provider Directory

National Provider Directory

Locations

1910 E Southern Ave
Ste 107
Tempe, AZ 85282
Phone (480) 969-5613

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555632000000",
    "number": "1659566339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4824 E BASELINE RD STE 140",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064680",
            "telephone_number": "480-969-5613",
            "fax_number": "480-844-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4824 E BASELINE RD STE 140",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064680",
            "telephone_number": "480-969-5613",
            "fax_number": "480-844-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON L. BOYER DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2019-04-19",
        "status": "A",
        "authorized_official_last_name": "BOYER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "480-969-5613",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AZ",
            "license": "4163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Athena Womens Medical Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Athena Womens Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; 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.