Jeffrey S Boyett, PA - C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2139 Issued in AZ

Practice address

3931 Stockton Hill Rd
Suite C
Kingman, AZ 86409-2426

Phone

(928) 681-6100

Fax

(928) 681-6103

NPI assigned

Jul 14, 2006

Last updated

Dec 15, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Hualapai Emergency Physician Partners PLLC

  • Emergency Medicine Physician
  • Kingman, AZ
  • NPI 1881827806
  NPD (past)
• Jon C Schwartz MD PC

  • Family Medicine Physician
  • Kingman, AZ
  • NPI 1801812219
  NPD (past)
• Mohave Family Chiropractic LLC

  • Chiropractor
  • Kingman, AZ
  • NPI 1891054383
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1760408405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3931 STOCKTON HILL RD",
            "address_2": "SUITE C",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864092426",
            "telephone_number": "928-681-6100",
            "fax_number": "928-681-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3931 STOCKTON HILL RD",
            "address_2": "SUITE C",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864092426",
            "telephone_number": "928-681-6100",
            "fax_number": "928-681-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYETT",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "credential": "PA - C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "2139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "568545",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael P Bongiorno, NP
• Peter Bostoros, MD
• Dana Rose-Saulibio Bowers, PHARMD
• Toby James Bowers, D.O.
• Ellen Louise Boyer, CRNA
• Joseph Aaron Bradbury, D.O.
• Braden Partners, LP (Pacific Pulmonary Services/Med-Mart)
• Kelly Marie Bradley, DMD
• Douglas W Brandt, MD
• Breathing Disorders Services

• Medical Physician Assistant in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.