JEFFREY MARK BOYKO (NPI# 1023061165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023061165 |
Entity Type | Individual |
Full Name | JEFFREY MARK BOYKO |
Credential | DO |
Practice Address |
6707 Powers Blvd Ste 302 Parma OH 44129-5470 |
Mailing Address |
Po Box 931591 Cleveland OH 44193-1719 |
Practice Telephone | 4407432380 |
Enumeration Date | 2006-05-18 |
Last Update Date | 2013-08-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
34-005779 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 2114081 | 05 |
Street Address |
6707 POWERS BLVD STE 302 |
City | PARMA |
State | OH |
Zip Code | 44129-5470 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467741645 | Crystal Hematology and Oncology Ltd | Clinic/Center | 6707 Powers Blvd Ste 302, Parma, OH 44129-5470 | 2011-03-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255819504 | Evolve Behavioral Health LLC. | Counselor | 5788 Ridge Rd Ste 3, Parma, OH 44129 | 2018-07-30 |
1952755688 | Lauren Williams | Speech-Language Pathologist | 6907 Brownfield Drive, Parma, OH 44129 | 2016-04-19 |
1447611579 | Chidozie Odigwe | Student in an Organized Health Care Education/Training Program | 7007 Powers Boulevard, Parma, OH 44129 | 2016-03-17 |
1700296589 | Kellie Richardson | Home Health Aide | 8402 Deerfield Drive, Parma, OH 44129 | 2014-05-02 |
1285982843 | John Eugene Huron | Dentist | 5657 Ridge Road, Parma, OH 44129 | 2012-08-29 |
1952659682 | Rima Patel | Optometrist | 7101 Lassiter Dr., Parma, OH 44129 | 2012-08-28 |
1740570464 | Wig Fashions Inc | Durable Medical Equipment & Medical Supplies | 5466 Pearl Road, Parma, OH 44129 | 2011-04-14 |
1447490883 | Adam D. Wysocki | Chiropractor | 5348 Pearl Road, Parma, OH 44129 | 2009-02-25 |
1184888547 | Virginia Ruth Ripepi | Registered Nurse | 8003 Dorothy Avenue, Parma, OH 44129 | 2008-07-15 |
1871787879 | Roger Goomber | Anesthesiology | 6305 Powers Blvd, Mac 4, Parma, OH 44129 | 2007-09-01 |
Find all providers in zip 44129 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982713178 | Bernard James Owens IIi | Surgery | 12301 Snow Rd, Parma, OH 44130-1002 | 2006-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659993459 | Matt Thompson | Surgery | Department of Vascular Surgery 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2020-05-14 |
1194373704 | Premier Vein and Vascular Care LLC | Surgery | 33290 Bainbridge Rd, Solon, OH 44139-2802 | 2019-08-27 |
1588144299 | Garcia Vascular Surgery Center, LLC | Surgery | 29099 Health Campus Dr Ste 380, Westlake, OH 44145-5276 | 2018-08-21 |
1962900365 | Marilyn Mcnamara | Surgery | 1031 Brook Ln, Rocky River, OH 44116-2184 | 2018-01-31 |
1386155521 | Zanesville Vascular Vein & Wound Center LLC | Surgery | 3964 Frazeysburg Rd Unit A, Zanesville, OH 43701-8920 | 2017-10-16 |
1679026751 | Center for Vein Restoration Oh, LLC | Surgery | 1050 Isaac Streets Dr Ste 131, Oregon, OH 43616-8203 | 2016-07-26 |
1235541640 | Jon Garrett Quatromoni | Surgery | Mail Code F30 9500 Euclid Avenue, Cleveland, OH 44195-4238 | 2014-05-20 |
1881035343 | Innovative Wound Care Associates, Inc | Surgery | 790 Boardman Canfield Rd Ste 3, Boardman, OH 44512-4344 | 2013-07-12 |
1184062242 | Jorge Enrique Motta | Surgery | 12268 Church Rd, Orrville, OH 44667-9623 | 2013-06-11 |
1912245853 | Cleveland East Vascular Care, LLC | Surgery | 23650 Commerce Park Ste B, Beachwood, OH 44122-5817 | 2013-01-28 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.