Provider Demographics
NPI:1821181066
Name:HELM, BOYD MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:BOYD
Middle Name:MICHAEL
Last Name:HELM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5231 BRITTANY DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-9143
Mailing Address - Country:US
Mailing Address - Phone:225-769-0933
Mailing Address - Fax:225-769-5008
Practice Address - Street 1:5231 BRITTANY DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-9143
Practice Address - Country:US
Practice Address - Phone:225-769-0933
Practice Address - Fax:225-769-5008
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA023687174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAP00315045OtherRAILROAD MEDICARE
LA1542024Medicaid
MS00015478Medicaid
LA4K048Medicare PIN
LA1542024Medicaid
LA4K048CE22Medicare ID - Type Unspecified
LA4K0487061Medicare PIN