Organization Active NPI

James L Boylon MD PS

  • Specialist
  • Longview, WA
National Provider Identifier
1801189840
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD00012458 Issued in WA
Legal business name
JAMES L BOYLON MD PS
Practice address
1106 Douglas St
Ste F
Longview, WA 98632-2497
Phone
(360) 636-4500
Fax
(360) 636-4999
NPI assigned
May 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Authorized official

Name
Mr. James L Boylon, MD
Title
Doctor
Phone
(360) 636-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD00012458 WA Primary

Addresses

Primary practice location

1106 Douglas St
Ste F
Longview, WA 98632-2497

Mailing address

1106 Douglas St
Ste F
Longview, WA 98632-2497
Phone (360) 636-4500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1801189840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 DOUGLAS ST",
            "address_2": "STE F",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322497",
            "telephone_number": "360-636-4500",
            "fax_number": "360-636-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 DOUGLAS ST",
            "address_2": "STE F",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322497",
            "telephone_number": "360-636-4500",
            "fax_number": "360-636-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES L BOYLON MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "BOYLON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "360-636-4500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00012458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.

Verify at the official NPI Registry.