Provider Demographics
NPI:1558773093
Name:BOYD, HEATHER JEFFRIES (MD)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:JEFFRIES
Last Name:BOYD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6580 KUGLER MILL RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-2260
Mailing Address - Country:US
Mailing Address - Phone:901-496-7786
Mailing Address - Fax:
Practice Address - Street 1:231 ALBERT SABIN WAY ML0526
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-2827
Practice Address - Country:US
Practice Address - Phone:513-584-8210
Practice Address - Fax:513-584-0257
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-02
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
OH35132631207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program