Molly Elizabeth Boyko, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OT024167 Issued in PA

Practice address

6100 Tides Way Unit 311
Myrtle Beach, SC 29577-0507

Phone

(570) 687-7453

NPI assigned

Oct 2, 2024

Reactivated

Jul 18, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1689492225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 TIDES WAY UNIT 311",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295770507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 TIDES WAY UNIT 311",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295770507",
            "telephone_number": "570-687-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYKO",
        "first_name": "MOLLY",
        "middle_name": "ELIZABETH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2025-08-04",
        "certification_date": "2025-07-28",
        "deactivation_date": "2025-06-05",
        "reactivation_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OT024167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jake Bowling
• Erin B Boyce, PA-C
• Caroline Boyd, MD
• Marilynda S Boyer, APN
• Daniel Evan Boykin, DO
• Jacqueline Noel Boyle, MASSAGE THERAPIST
• Natalie Sophia Boyle, RN
• Katarina Boyles
• Heidi Bozard
• Theresa Lucille Bozza-Hicks, MA, LPC, CMHIMP

• Internal Medicine Physician in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.