Boyd Obstetrics & Gynecology, S.c., NPI 1245358381
Obstetrics & Gynecology Physician in Peoria, IL, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1245358381 |
| NPI Entity Type | Organization |
| Provider Name | Boyd Obstetrics & Gynecology, S.c. |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 900 Main St Ste 660, Peoria, IL, US |
| Provider Mailing Address | 900 Main St Ste 660, Peoria, IL, US, 616021060 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MRS. Paula M Clark |
| Official Position | PRACTICE ADMINISTRATOR |
| Phone | 309-687-4242 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Obstetrics & Gynecology Physician |
| Classification | |
| Group | |
| License No. | 036084069 |
| License State | IL |
| Description | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 4623406 | IL | AETNA | 01 |
| 008992 | IL | HEALTH ALLIANCE | 01 |
| 7205412 | IL | BCBS | 01 |
| 263252 | IL | HEALTHLINK | 01 |
| 036084069 | IL | MEDICAID | 05 |
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