Boyd Obstetrics & Gynecology of Central Illinois

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

036084069 Issued in IL

Legal business name

BOYD OBSTETRICS & GYNECOLOGY OF CENTRAL ILLINOIS

Practice address

900 Main St Ste 660
Peoria, IL 61602-1060

Phone

(309) 687-4230

Fax

(309) 687-4235

NPI assigned

Nov 10, 2010

Organization subpart

No

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

Authorized official

Name

Paula Clark

Title

Administrator

Phone

(309) 687-4242

Specialties & licenses 1

Addresses

Other identifiers 5

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Marc Boyd Jr., D.O., M.D.

  • Obstetrics & Gynecology Physician
  • Pensacola, FL
  • NPI 1770581456
  NPD (past)

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1902107733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MAIN ST STE 660",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021060",
            "telephone_number": "309-687-4230",
            "fax_number": "309-687-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MAIN ST STE 660",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021060",
            "telephone_number": "309-687-4230",
            "fax_number": "309-687-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYD OBSTETRICS & GYNECOLOGY OF CENTRAL ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "309-687-4242"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036084069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036084069",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4623406",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "008992",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "263252",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "7205412",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruth A Bowden, MSW
• Christine Bowers, MD
• Julia Hurst Bowman, M.ED.
• Megan Andrews Bowman
• Maria Boy, DDS
• Boyd Obstetrics & Gynecology, S.C.
• Megan Boyd, DMD
• Thomas Boyd, M.D.
• Thomas R Boyd, DDS
• Aaron Taylor Boyer, M.D.

• Obstetrics & Gynecology Physician in Peoria, IL
• Providers in Peoria, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.