John T Boyle

M.D. | Pediatric Gastroenterology | Male

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Complete Profile:

John T Boyle basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Gastroenterology
Provider Name :	John T Boyle
Credential :	M.D.
Gender :	Male

Business Address:

John T Boyle 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 :	3401 Civic Center Blvd, Children's Hospital Of Phila - Gastro & Nutrition Philadelphia, PA, 19104-4319 United States
Phone Number :	215-590-3247
Fax Number :	215-590-3606

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 :	1578673448
NPI Entity Type :	Individual
First Enrolment Date :	30 Aug, 2006
Last Updated On :	15 Apr, 2013

Medicare Participation:

John T Boyle participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	2860595485
Medicare Enrollment ID :	I20070319000614
Primary Specialty :	Gastroenterology
Medical School :	Js Weill Medical College, Cornell University
Graduation Year :	1972
Accepts Medicare?	Yes. John T Boyle accepts medicare insurance.

Group Practice Association:

John T Boyle 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 John T Boyle is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Childrens Health Care Associates Inc	1355253527	172	3401 Civic Ctr Blvd Philadelphia, PA - 191044319	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 John T Boyle are as mentioned. Primary taxonomy code for John T Boyle, M.D. is 2080P0206X (Pediatrics Pediatric Gastroenterology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0206X	Pediatrics Pediatric Gastroenterology	No	24896	AL
2080P0206X	Pediatrics Pediatric Gastroenterology	Yes	MD020218E	PA

Legacy Identifiers:

Other legacy medical identifiers of John T Boyle such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
09209823	MEDICAID	MS
009903095	MEDICAID	AL
009901825	MEDICAID	AL

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 :	100 E Penn Sq, 9th Floor Philadelphia, PA, 19107-3323 United States
Phone Number :	267-425-9234
Fax Number :	267-425-9299

Business Location:

Patients can refer following map for directions to John T Boyle practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.