Provider Demographics
NPI:1922063056
Name:BOYLE, JANET MARGARET (MD)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:MARGARET
Last Name:BOYLE
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:PO BOX 636256
Mailing Address - Street 2:CENTRAL CREDENTIALING
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-6256
Mailing Address - Country:US
Mailing Address - Phone:513-585-5504
Mailing Address - Fax:513-585-5511
Practice Address - Street 1:499 E MCMILLAN ST
Practice Address - Street 2:STE 103
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45206-1938
Practice Address - Country:US
Practice Address - Phone:513-281-0091
Practice Address - Fax:513-221-3425
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2017-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-086924207RN0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200808430Medicaid
KY64122724Medicaid
OH2638819Medicaid
OHP00302188OtherRAIL ROAD MEDICARE
KY64122724Medicaid
I49907Medicare UPIN
OHH080590Medicare PIN