Ivy Boydstun

MD | Pediatric Nephrology | Female

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Complete Profile:

Ivy Boydstun basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Nephrology
Provider Name :	Ivy Boydstun
Credential :	MD
Gender :	Female

Business Address:

Ivy Boydstun address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1131 N 35th Ave Fl 2 Hollywood, FL, 33021 United States
Phone Number :	954-265-9344
Fax Number :	954-986-5122

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1285671628
NPI Entity Type :	Individual
First Enrolment Date :	02 Jun, 2006
Last Updated On :	17 Mar, 2021

Medicare Participation:

Ivy Boydstun participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	3678648367
Medicare Enrollment ID :	I20080814000381
Primary Specialty :	Nephrology
Medical School :	Baylor College Of Medicine
Graduation Year :	2001
Accepts Medicare?	Yes. Ivy Boydstun accepts medicare insurance.

Group Practice Association:

Ivy Boydstun is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Ivy Boydstun is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
South Broward Hospital District	8123927373	481	3501 Johnson St Hollywood, FL - 330215421 Ph: 9542657750	Yes
South Broward Hospital District	8123927373	481	1951 Sw 172nd Ave Suite 204 Miramar, FL - 330295613	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ivy Boydstun are as mentioned. Primary taxonomy code for Ivy Boydstun, MD is 2080P0210X (Pediatrics Pediatric Nephrology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0210X	Pediatrics Pediatric Nephrology	Yes	ME101007	FL

Legacy Identifiers:

Other legacy medical identifiers of Ivy Boydstun such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
000070000	MEDICAID	FL

Other Practice Locations:

Practice Address	City, State	Phone Number
900 GLADES RD STE 501, BOCA RATON, FL, 33431-6421 United States	BOCA RATON, FL	954-265-9344

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	2900 Corporate Way, Door D Miramar, FL, 33025-3925 United States
Phone Number :	954-276-5685
Fax Number :	954-985-7074

Business Location:

Patients can refer following map for directions to Ivy Boydstun practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.