Active NPI
Jeremiah Boyd, M.D.
- Diagnostic Radiology Physician
- Spokane, WA
National Provider Identifier
1790011161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 60228869
- Practice address
- 101 West Eighth Avenue
Spokane, WA 99220-2555 - Phone
- (509) 981-5177
- NPI assigned
- Oct 20, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Diagnostic Radiology Physician | 2085R0202X | 60228869 | WA | Primary |
Addresses
Primary practice location
101 West Eighth Avenue
Spokane, WA 99220-2555
Mailing address
101 West Eighth Avenue
Spokane, WA 99220-2555
Phone (509) 981-5177
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 |
|---|---|---|---|
| 60228869 | WA | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392595200000",
"number": "1790011161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 WEST EIGHTH AVENUE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992202555",
"telephone_number": "509-981-5177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 WEST EIGHTH AVENUE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992202555",
"telephone_number": "509-981-5177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "JEREMIAH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-20",
"last_updated": "2014-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "60228869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.