| Dr John David O'boyle, MD | |
|
4525 3rd Ave Se Ste 200, Lacey, WA 98503 | |
| (360) 754-3934 | |
| (360) 943-8023 |
| Full Name | Dr John David O'boyle |
|---|---|
| Gender | Male |
| Speciality | Gynecological Oncology |
| Experience | 33 Years |
| Location | 4525 3rd Ave Se Ste 200, Lacey, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306808381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VX0201X | Obstetrics & Gynecology - Gynecologic Oncology | MD00039398 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Centralia Hospital | Centralia, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc | 3779495858 | 1793 |
| Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc | 3779495858 | 1793 |
| Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc | 3779495858 | 1793 |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043378656 PECOS PAC ID: 3779495858 Enrollment ID: O20080519000558 |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1942546486 PECOS PAC ID: 3779495858 Enrollment ID: O20141111002041 |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1457023616 PECOS PAC ID: 3779495858 Enrollment ID: O20220105001262 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John David O'boyle, MD Po Box 3360, Portland, OR 97208-3360 Ph: () - | Dr John David O'boyle, MD 4525 3rd Ave Se Ste 200, Lacey, WA 98503 Ph: (360) 754-3934 |
Robert Martin Ore, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4525 3rd Ave Se Ste 200, Lacey, WA 98503 Phone: 360-754-3934 |