Ellen Boyd, M.D. – Pediatrics Physician

Key facts

NPI: 1922097740
Entity type: Individual (NPI type 1)
Primary specialty: Pediatrics Physician 208000000X
License: 22678 (NC)
Practice address: 9 Vanderbilt Park Dr
Asheville, NC 28803-1700
Phone: (828) 213-0022
NPI assigned: Oct 14, 2005
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
000585346	NC	MD	Ph.D. Medical Genetics

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Ph.D. Medical Genetics	170100000X	000585346	NC
Pediatrics Physician	208000000X	22678	NC	Yes

Addresses

Primary practice location

9 Vanderbilt Park Dr
Asheville, NC 28803-1700

Mailing address

PO Box 15268
Asheville, NC 28813-0268

Other identifiers

Identifier	Type	State	Issuer
8917248	Medicaid	NC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 15, 2016.

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473897600000",
    "number": "1922097740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15268",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288130268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 VANDERBILT PARK DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288031700",
            "telephone_number": "828-213-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "ELLEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2016-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "NC",
            "license": "000585346",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "22678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8917248",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

All providers in Asheville, NC · Pediatrics Physician in North Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2016. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.