Emmett T. Boyle Jr., MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

3564284 Issued in OH

Practice address

3500 Executive Pkwy
Toledo, OH 43606-1319

Phone

(419) 531-8558

Fax

(419) 578-5939

NPI assigned

Jun 17, 2005

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 2

Medicare fee-for-service enrollment

Enrolled in OH, MI2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Promedica Genito-Urinary Surgeons LLC

  • Urology Physician
  • Toledo, OH
  • NPI 1366795221

  MI

  Medicare reassignment NPD
• Genito Urinary Surgeons, Inc.

  • Urology Physician
  • Toledo, OH
  • NPI 1407853443
  NPD Authorized official
• Anesthesia Services of Parkway, LLC.

  • Health Service Clinic/Center
  • Toledo, OH
  • NPI 1396832523
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343952000000",
    "number": "1811992654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 EXECUTIVE PKWY",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061319",
            "telephone_number": "419-531-8558",
            "fax_number": "419-578-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 EXECUTIVE PKWY",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061319",
            "telephone_number": "419-531-8558",
            "fax_number": "419-578-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "EMMETT",
        "middle_name": "T.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2012-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "3564284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "340008354",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0901126",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Boyer
• Beverly Boykin-Parker
• Eugenia Boykin, LPN
• Paige Boykin
• Christie Boyle
• Hilary P Boyle, LSW
• Mellisa Ann Boyle, PHD
• Corey Boyte, RN, CCM
• Koran Boze
• Danielle Nicole Bozek, MD

• Urology Physician in Toledo, OH
• Providers in Toledo, OH by specialty
• Urology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.