Active NPI
John R Boyle, MD
- Internal Medicine Physician
- Dayton, OH
National Provider Identifier
1932148780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35043227B
- Practice address
- 7707 Paragon Rd
Ste 101
Dayton, OH 45459-4041 - Phone
- (937) 208-6920
- Fax
- (937) 208-6948
- NPI assigned
- Jun 6, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35043227B | OH | Primary |
Addresses
Primary practice location
7707 Paragon Rd
Ste 101
Dayton, OH 45459-4041
Mailing address
7707 Paragon Rd
Ste 101
Dayton, OH 45459-4041
Phone (937) 208-6920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0407867 | Medicaid | OH |
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 |
|---|---|---|---|
| 35043227B | OH | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383696000000",
"number": "1932148780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7707 PARAGON RD",
"address_2": "STE 101",
"city": "DAYTON",
"state": "OH",
"postal_code": "454594041",
"telephone_number": "937-208-6920",
"fax_number": "937-208-6948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7707 PARAGON RD",
"address_2": "STE 101",
"city": "DAYTON",
"state": "OH",
"postal_code": "454594041",
"telephone_number": "937-208-6920",
"fax_number": "937-208-6948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYLE",
"first_name": "JOHN",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2013-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35043227B",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0407867",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.