Active NPI
Richard P Boyer, M.D.
- Surgery Physician
- Peterborough, NH
National Provider Identifier
1700868478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 12864
- Practice address
- 452 Old Street Rd
Peterborough, NH 03458-1263 - Phone
- (603) 924-7191
- Fax
- (603) 924-3569
- NPI assigned
- Nov 17, 2005
- Last updated
- Dec 20, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 12864 | NH | Primary |
| Surgery Physician | 208600000X | 33942 | MA |
Addresses
Primary practice location
452 Old Street Rd
Peterborough, NH 03458-1263
Mailing address
452 Old Street Rd
Peterborough, NH 03458-1263
Phone (603) 924-7191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30205437 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33942 | MA | MD | Surgery Physician |
| 12864 | NH | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baystate Affiliated Practice Organization | Surgery | Past | Accepting new patients |
| Baystate Medical Practices, Inc | Surgery | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1043256043
Surgery
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- Springfield, MA
- NPI 1548205909
Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324339200000",
"number": "1700868478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "452 OLD STREET RD",
"city": "PETERBOROUGH",
"state": "NH",
"postal_code": "034581263",
"telephone_number": "603-924-7191",
"fax_number": "603-924-3569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "452 OLD STREET RD",
"city": "PETERBOROUGH",
"state": "NH",
"postal_code": "034581263",
"telephone_number": "603-924-7191",
"fax_number": "603-924-3569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYER",
"first_name": "RICHARD",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-17",
"last_updated": "2011-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NH",
"license": "12864",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "33942",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30205437",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Peterborough, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.