ROBERT EARL BOYD III (NPI# 1659440774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659440774 |
| Entity Type | Individual |
| Full Name | ROBERT EARL BOYD III |
| Credential | MD |
| Practice Address |
333 North Madison Street Provena Saint Joseph Medical Center Joliet IL 60435 |
| Mailing Address |
200 Shorewood Ln Shorewood IL 60404-8972 |
| Practice Telephone | 8157417200 |
| Practice Fax Number | 8157417591 |
| Mailing Telephone | 8157443036 |
| Mailing Fax Number | 8157443042 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
34299 | MA | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 0009915352 | 01 | |
| DEA | AB7257428 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811411952 | Robert James Boyd | Registered Nurse | 2451 E 139th Pl, Thornton, CO 80602-7248 | 2017-07-31 |
| 1821264789 | Robert Willard Boyd | Dentist | 4050 West Lake Road, Erie, PA 16505-3260 | 2008-05-01 |
| 1922283795 | Robert Owen Boyd | Psychologist | 2800 Pleasant Hill Road, Suite 110, Pleasant Hill, CA 94523 | 2007-12-29 |
| 1609055862 | Robert Boyd | Counselor | 3994 37th St S, St Petersburg, FL 33711-5008 | 2007-10-24 |
| 1942372305 | Robert C Boyd | Pharmacist | 2109 B St, Suite A, Meridian, MS 39301-5928 | 2006-11-14 |
| 1225123557 | Robert Lee Boyd Jr. | Military Health Care Provider | Uss Chafee (ddg 90), Fpo, AP 96662-1305 | 2006-10-03 |
| 1083600134 | Robert D Boyd | Obstetrics & Gynecology | 1501 Tate Blvd Se Ste 201, Hickory, NC 28602-1385 | 2005-09-23 |
| 1043876147 | Robert Boyd | Pediatrics | 3401 Civic Center Blvd., Department of Pediatrics, Philadelphia, PA 19104 | 2019-05-14 |
| 1518430636 | Robert James Boyd | Physical Therapist | 440 Corwin Nixon Blvd, South Lebanon, OH 45065-1196 | 2019-01-11 |
| 1023514973 | Robert Wilson Boyd | Physical Therapy Assistant | 40 Whitehall Rd, Rochester, NH 03867-3225 | 2018-03-31 |
| Street Address |
333 NORTH MADISON STREET PROVENA SAINT JOSEPH MEDICAL CENTER |
| City | JOLIET |
| State | IL |
| Zip Code | 60435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225057094 | Dawn White | Dietitian, Registered | 333 North Madison Street, Joliet, IL 60435 | 2006-07-19 |
| 1932680725 | Rita Lee Craven | Physician Assistant | 333 North Madison Street, Joliet, IL 60235 | 2018-08-28 |
| 1235468901 | Kathy L Reyes | Nurse Anesthetist, Certified Registered | 333 North Madison Street, Joliet, IL 60435-8200 | 2009-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841423696 | Advanced Medical Imaging of Joliet, LLC | Radiology | 330 N Madison Ave, Joliet, IL 60435-6565 | 2009-08-27 |
| 1760524110 | Harry R Platt | Radiology | 620 Wildwood Dr, Joliet, IL 60431-4891 | 2007-02-13 |
| 1831280494 | Brian Michael Fagan | Radiology | Joliet Radiological Services Corp Provena St. Joesph Me, 333 N Madison St, Joliet, IL 60435 | 2006-09-27 |
| 1457457830 | Edward J Bruno | Radiology | 333 N Madison, Joliet, IL 60586 | 2006-09-15 |
| 1639107428 | Michael G Arthofer | Radiology | 333 N Madison St, Joliet Radiological Service Corp Provena St Joseph Med, Joliet, IL 60435 | 2006-06-29 |
| 1871561621 | Salvador A. Rinella | Radiology | 1200 Maple Rd, Suite 3309, Joliet, IL 60432-1439 | 2006-03-09 |
| 1083698831 | Shin I Nam | Radiology | 1200 Maple Road, Joliet, IL 60432-1439 | 2005-12-05 |
| 1669602660 | Noah Robert Schwind | Radiology | 333 Madison St, Joliet, IL 60435-8200 | 2009-07-24 |
| 1437343696 | Gregory D Price | Radiology | 1200 Maple Rd, Suite 3309, Joliet, IL 60432-1439 | 2007-08-30 |
| 1144379363 | John Scott Groch | Radiology | 333 Madison, St Joseph Medical Center, Joliet, IL 60435-8233 | 2007-01-09 |
| Find all providers in JOLIET | ||||
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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.