Amy L. O'Boyle, MD
Individual provider Active NPI Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Olympia, WA
NPI 1679548341 · NPPES record last updated Mar 23, 2024
Key facts
- NPI
- 1679548341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X
- License
- MD60776453 (WA)
- Practice address
- 149 Lilly Rd NE
Olympia, WA 98506-5028 - Phone
- (360) 486-6772
- Fax
- (360) 455-7405
- NPI assigned
- Feb 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 37
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Tulane University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Luminis Health Medical Group, LLC
Practice addresses (Care Compare)
2003 Medical Pkwy
Suite 150
Annapolis, MD 21401-0317
Phone (443) 481-1199
4175 N Hanson CT
Suite 203
Bowie, MD 20716-3183
Phone (410) 224-1133
Hospital & facility affiliations
- Luminis Health Anne Arundel Medical Center, Inc
- Luminis Health Doctors Community Medical Ctr, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of the uterus | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (5 enrollments) in WI, WA, MD, DC, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170731003632 | WI | Practitioner - Obstetrics/Gynecology | 9638447949 | Reassigns benefits to 1 organization |
| I20190104001737 | WA | Practitioner - Obstetrics/Gynecology | 9638447949 | Reassigns benefits to 4 organizations |
| I20231130000520 | MD | Practitioner - Obstetrics/Gynecology | 9638447949 | Reassigns benefits to 5 organizations |
| I20240412002125 | DC | Practitioner - Obstetrics/Gynecology |
9638447949 | Reassigns benefits to 6 organizations |
| I20240521003034 | VA | Practitioner - Gynecological Oncology |
9638447949 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60776453 | WA | MD | Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician |
Practice roles
Locations (25 of 35)
2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136
2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366
2003 Medical Pkwy
Ste 150
Annapolis, MD 21401
Phone (410) 849-2273
4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199
4175 N Hanson Ct
Ste 203
Bowie, MD 20716
Phone (410) 224-1133
1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300
7070 Samuel Morse Dr
Columbia, MD 21046
Phone (410) 309-4600
12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255
12502 Willowbrook Rd
Ste 660
Cumberland, MD 21502
Phone (240) 964-8760
28438 Marlboro Ave
Easton, MD 21601
Phone (410) 820-7270
7190 Crestwood Blvd
Frederick, MD 21703
Phone (240) 529-1700
1701 Twin Springs Rd
Halethorpe, MD 21227
Phone (410) 737-5000
10810 Connecticut Ave
Kensington, MD 20895
Phone (301) 929-7100
1221 Mercantile Ln
Fl 3
Largo, MD 20774
Phone (301) 618-5500
655 Watkins Mill Rd
Montgomery Village, MD 20879
Phone (301) 929-7100
2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853
2101 E Jefferson St
Ste 4EAST
Rockville, MD 20852
2101 E Jefferson St
Ste 4EPFS
Rockville, MD 20852
2101 E Jefferson St
#4E
Rockville, MD 20852
2391 Greenspring Dr
Timonium, MD 21093
Phone (410) 847-3000
6701 N Charles St
Towson, MD 21204
Phone (443) 849-2000
1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500
8008 Westpark Dr
Tysons Corner, VA 22102
Phone (703) 287-6400
14139 Potomac Mills Rd
Woodbridge, VA 22192
Phone (703) 257-3000
13285 Minnieville Rd
Woodbridge, VA 22192
Phone (703) 986-2400
Interoperability endpoints
- aoboyle972235@wm.providencedirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD60776453 | WA | |
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | 207VF0040X | MD60776453 | WA | Yes |
Addresses
Primary practice location
149 Lilly Rd NE
Olympia, WA 98506-5028
Mailing address
PO Box 3360
Portland, OR 97208-3360
Other practice location 1
3425 Ensign Rd NE Ste 220
Olympia, WA 98506-5063
Phone (360) 493-4015
Other names
- Amy L Cory
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) | |
| Direct Messaging Address | aoboyle972235@wm.providencedirect.org | Direct | |
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
NPI Registry JSON
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711152000000",
"number": "1679548341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3360",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 LILLY RD NE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065028",
"telephone_number": "360-486-6772",
"fax_number": "360-455-7405"
}
],
"practiceLocations": [
{
"address_1": "3425 Ensign Rd NE Ste 220",
"address_purpose": "LOCATION",
"city": "Olympia",
"state": "WA",
"postal_code": "985065063",
"country_code": "US",
"telephone_number": "360-493-4015",
"fax_number": "360-493-7472",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'BOYLE",
"first_name": "AMY",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-17",
"last_updated": "2024-03-23",
"certification_date": "2024-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WA",
"license": "MD60776453",
"primary": false
},
{
"code": "207VF0040X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
"state": "WA",
"license": "MD60776453",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "3425 Ensign Rd NE Ste 220",
"city": "Olympia",
"state": "WA",
"country_code": "US",
"postal_code": "985065063",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aoboyle972235@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3425 Ensign Rd NE Ste 220",
"city": "Olympia",
"state": "WA",
"country_code": "US",
"postal_code": "985065063",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "3425 Ensign Rd NE Ste 220",
"city": "Olympia",
"state": "WA",
"country_code": "US",
"postal_code": "985065063",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "AMY",
"last_name": "CORY",
"middle_name": "L",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
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All providers in Olympia, WA · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.