DR. JOHN DAVID O'BOYLE (NPI# 1306808381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306808381 |
| Entity Type | Individual |
| Full Name | DR. JOHN DAVID O'BOYLE |
| Credential | M.D. |
| Practice Address |
4525 3rd Ave Se Ste 200 Lacey WA 98503 |
| Mailing Address |
Po Box 3360 Portland OR 97208-3360 |
| Practice Telephone | 3607543934 |
| Practice Fax Number | 3609438023 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2018-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
MD00039398 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
4525 3RD AVE SE STE 200 |
| City | LACEY |
| State | WA |
| Zip Code | 98503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992700611 | James J Lechner | Specialist | 4525 3rd Ave Se Ste 200, Lacey, WA 98503 | 2005-06-17 |
| 1437596301 | Mary K Lane | Nurse Practitioner | 4525 3rd Ave Se Ste 200, Lacey, WA 98503-1010 | 2013-05-31 |
| 1366670416 | Jocelyn Torres De Yao | Internal Medicine | 4525 3rd Ave Se Ste 200, Lacey, WA 98503-1010 | 2009-06-28 |
| 1689846198 | Bojia Li | Internal Medicine | 4525 3rd Ave Se Ste 200, Lacey, WA 98503-1010 | 2008-03-25 |
| 1306064472 | Nora Gant | Nurse Practitioner | 4525 3rd Ave Se Ste 200, Lacey, WA 98503-1010 | 2007-04-23 |
| 1821112293 | Daniel Madison Byrd | Internal Medicine | 4525 3rd Ave Se Ste 200, Pmg Sw Wa Prcs Lacey Clinic, Lacey, WA 98503-1010 | 2007-03-19 |
| 1013095660 | Monique C. Semien | Internal Medicine | 4525 3rd Ave Se Ste 200, Pmg Sw Wa Prcs Lacey Clinic, Lacey, WA 98503-1010 | 2006-11-01 |
| 1902915945 | Brady Garland Miller | Internal Medicine | 4525 3rd Ave Se Ste 200, Lacey, WA 98503 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457838989 | Michele Nordgren Bourque | Psychologist | 4329 Concordia Lane Se, Lacey, WA 98503 | 2018-07-26 |
| 1831638675 | Trevor John Marum | Chiropractor | 3945 8th Ave Se, Lacey, WA 98503 | 2017-02-13 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1144683616 | Millenda Thomas | Registered Nurse | 1233 Firpark Dr. S.e., Lacey, WA 98503 | 2016-04-01 |
| 1609257245 | Erika Charlotte Vonkotzebue | Counselor | 4401 37th Ave. Se #25, Lacey, WA 98503 | 2015-06-09 |
| 1437576196 | Candy Nelson | Registered Nurse | 4410 6th Ave Se, Apt# 115, Lacy, WA 98503 | 2014-03-19 |
| 1134563919 | Alvin Fitzgerald | Pharmacist | 665 Sleater Kinney Rd., S.e, Target Pharmacy #1355, Lacey, WA 98503 | 2013-04-23 |
| 1518200724 | Katherine Mary Marsh | Psychologist | 5191 Corporate Center Court Se, Lacey, WA 98503 | 2013-04-05 |
| 1740530906 | Leanna Marie Mcbroom | Massage Therapist | 1608 Diamond Loop Se, Lacey, WA 98503 | 2012-09-14 |
| 1831445196 | Joyce Emily Christensen Coniff | Counselor | 5706 39th Ave Se., Lacey, WA 98503 | 2012-07-24 |
| Find all providers in zip 98503 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750520516 | Providence Health & Services Wa | Obstetrics & Gynecology | 1717 13th Street, Suite 300, Everett, WA 98201-1621 | 2009-02-18 |
| 1619992724 | Amy Elizabeth Bondurant | Obstetrics & Gynecology | 1101 Madison St Ste 1500, Seattle, WA 98104-3551 | 2006-07-12 |
| 1235192584 | Michael Allan Bidus | Obstetrics & Gynecology | 11511 Canterwood Blvd Nw Ste 100, Gig Harbor, WA 98332 | 2006-04-08 |
| 1902892987 | Melanie Kim Bergman | Obstetrics & Gynecology | 101 W 8th Ave Ste 1400, Spokane, WA 99204-2307 | 2005-09-23 |
| 1497249932 | Jaycee Wong | Obstetrics & Gynecology | 1003 S 5th St, Tacoma, WA 98405-4210 | 2018-06-19 |
| 1982947149 | Deirdre Knobeloch | Obstetrics & Gynecology | 1560 N 115th St Ste 101, Seattle, WA 98133 | 2013-04-05 |
| 1528303336 | Christopher Michael Tarney | Obstetrics & Gynecology | 9040 Jackson Ave, Tacoma, WA 98431-7075 | 2012-12-05 |
| 1750529244 | Franciscan Medical Group | Obstetrics & Gynecology | 1624 S I St, Tacoma, WA 98405-5016 | 2009-01-22 |
| 1508028788 | Kemi Morenikeji Doll | Obstetrics & Gynecology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2008-06-27 |
| 1093999740 | Renata Rose Urban | Obstetrics & Gynecology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2007-12-18 |
| Find all providers with the same taxonomy | ||||
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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.