| Jeffery Todd Boyd, DO | |
| 
					1 Childrens Plz, Dayton, OH 45404-1815  | |
| (937) 641-3358 | |
| Not Available | 
| Full Name | Jeffery Todd Boyd | 
|---|---|
| Gender | Male | 
| Speciality | Pathology - Pediatric Pathology | 
| Location | 1 Childrens Plz, Dayton, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1710194865 | NPI | - | NPPES | 
| 2829667 | Medicaid | OH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207ZP0213X | Pathology - Pediatric Pathology | 34.009033 (Ohio) | Primary | 
| Entity Name | Dayton Childrens Specialty Physicians Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1225192610 PECOS PAC ID: 5496916124 Enrollment ID: O20181024001690  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jeffery Todd Boyd, DO Po Box 933432, Cleveland, OH 44193-0039 Ph: (937) 641-3000  | Jeffery Todd Boyd, DO 1 Childrens Plz, Dayton, OH 45404-1815 Ph: (937) 641-3358  | 
Rebecca R. Balaj, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-2978 Fax: 937-208-6137  | |
Dr. Ronald C Chiu, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1 Wyoming Street, Pathology Lab, Dayton, OH 45409 Phone: 937-208-2978  | |
Dr. Michael Benjamin Gentry, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Dayton, OH 45429 Phone: 937-395-8849  | |
Paul G Koles, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 3640 Colonel Glenn Hwy, 125 White Hall, Dayton, OH 45435 Phone: 937-775-2625 Fax: 937-775-2633  | |
Patrick J Connelly, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-2777  | |
Mrs. Sharda Gupta, MD Pathology Medicare: Medicare Enrolled Practice Location: 5895 Batsford Drive, Dayton, OH 45459 Phone: 937-433-6883 Fax: 937-433-6883  | |
Dr. Manibha Banerjee, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 2222 Philadelphia Dr, Dayton, OH 45406 Phone: 937-278-6251  |