DR. JOHNNIE MACK BOYCE (NPI# 1710126529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710126529 |
| Entity Type | Individual |
| Full Name | DR. JOHNNIE MACK BOYCE |
| Credential | M.D. |
| Practice Address |
104 Harris Lane Springdale AR 72764-2530 |
| Practice Telephone | 4797510652 |
| Mailing Telephone | 4797510652 |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2009-02-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
C-2676(ACTIVE ST | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 117073001 | 05 |
| Street Address |
104 HARRIS LANE |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72764-2530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903884 | Conway County Community Service Inc. | Community/Behavioral Health | 616 E. Emma Avenue, Suite 244, Springdale, AR 72764 | 2020-08-20 |
| 1316592801 | Above and Beyond Pediatric Therapy, Inc | Speech-Language Pathologist | 2700 American St., Ste B, Springdale, AR 72764 | 2019-08-02 |
| 1053871061 | Specialized Hearing Instruments, Inc. | Audiologist-Hearing Aid Fitter | 958 S. West End St., Springdale, AR 72764 | 2019-03-25 |
| 1801385976 | Taylor Beauregard Kelamis | Nurse Practitioner | Mercy Clinic Family Medicine, 1110 W. Robinson Ave, Springdale, AR 72764 | 2018-05-04 |
| 1649726878 | Ember Estelle Lanuti Brown | Speech-Language Pathologist | 4209 Navajo Court, Springdale, AR 72764 | 2016-08-28 |
| 1568838241 | Elayna Wells | Speech-Language Pathologist | 900 S Powell Street, Springdale, AR 72764 | 2015-08-17 |
| 1184003261 | Okeyo Oghina | Nurse Practitioner | 609 West Maple Avenue, Northwest Health System, Springdale, AR 72764 | 2015-05-22 |
| 1235524869 | William M Rogers | Family Medicine | 513 N. Shiloh Street, Springdale, AR 72764 | 2015-03-31 |
| 1336498872 | Kelly Meeann Miller | Speech-Language Pathologist | 105 S Blair Street, Springdale, AR 72764 | 2012-08-30 |
| 1902183874 | Cristy Hoffman | Physical Therapy Assistant | 2837 American St Ste A, Springdale, AR 72764 | 2011-11-07 |
| Find all providers in zip 72764 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245640564 | Aaron Wyble | Pathology | 4301 W Markham St # 503, Little Rock, AR 72205 | 2014-05-08 |
| 1336486430 | William Edward Atkinson Jr. | Pathology | 22 Old Delmonte Drive, Little Rock, AR 72212 | 2013-01-09 |
| 1427303437 | Dalal Farid Jacob | Pathology | 1224 Cherokee Dr, Newport, AR 72112-9998 | 2012-07-16 |
| 1871870782 | Alex Pappas | Pathology | 1624 Mountain Dr, Little Rock, AR 72227-5837 | 2011-11-05 |
| 1740575810 | John Mcconnell | Pathology | 7220 West Ridge Rd., Roland, AR 72135-9595 | 2011-06-16 |
| 1295025492 | Melody Harrison | Pathology | 1 Lile Ct Ste 101, Little Rock, AR 72205-6239 | 2011-04-10 |
| 1679719017 | Ericka J Olgaard | Pathology | 4301 W. Markham Street, Slot 502, Little Rock, AR 72205 | 2009-01-06 |
| 1285888446 | Dalton Eugene Packmore | Pathology | 3005 Riverbend Rd, Heber Springs, AR 72543-8616 | 2008-11-13 |
| 1144431883 | Adam J Cole | Pathology | 25 Valley Estates Dr, Little Rock, AR 72212-4412 | 2007-05-24 |
| 1265545099 | Nicole A Massoll | Pathology | 4301 W Markham St # 517, Little Rock, AR 72205-7101 | 2006-08-16 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGDALE |
| Zip Code | 72764 |
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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.