Mary S Boyd MD LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

23274 Issued in SC

Legal business name

MARY S BOYD MD LLC

Practice address

1904 Sunset Blvd
Suite D
West Columbia, SC 29169-5932

Phone

(803) 791-1485

Fax

(803) 939-9378

NPI assigned

May 3, 2007

Last updated

Oct 22, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mary S Boyd, M.D.NPI 1497744890

Title

Medical Doctor and Owner

Phone

(803) 791-1485

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary S Boyd, M.D.

  • Psychiatry Physician
  • West Columbia, SC
  • NPI 1497744890
  Authorized official Same address or phone

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1962624106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 SUNSET BLVD",
            "address_2": "SUITE D",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291695932",
            "telephone_number": "803-791-1485",
            "fax_number": "803-939-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 SUNSET BLVD",
            "address_2": "SUITE D",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291695932",
            "telephone_number": "803-791-1485",
            "fax_number": "803-939-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY S BOYD MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DOCTOR AND OWNER",
        "authorized_official_telephone_number": "803-791-1485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "23274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4255",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Martin, PA-C
• Nancy K Martin, OTR/L, CHT
• Rainier James Braganza Martin, DO
• Susan Uhrhan Martin, OTR
• Whitney Crain Martin, DO
• Trent Masselink, CRNA
• Jean A Massey, ANP-BC
• Kim James Masters, MD
• Noah Andrew Masters, DO
• Matrix Rehabilitation -South Carolina Inc (Vaughn, Buchanan, Shelley & Associates)

• Psychiatry Physician in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Psychiatry Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.