MEDICARE: SHAWNA BOYLE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	2021-02763	NC
2	208800000X	Urology Physician	104009	GA
3	208800000X	Urology Physician	01091331A	IN
4	208800000X	Urology Physician	72097	TN
5	208800000X	Urology Physician	30567	NE
6	208800000X	Urology Physician	MD042404	DC

General Provider Information

NPI Number	:	1518347913
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAWNA BOYLE MD

Provider Business Mailing Address
First Line	:	13507 CASSIA WAY ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-4815
Country	:	US
Telephone Number	:	210-504-1555
Fax Number	:	210-907-8777

Provider Business Practice Location Address
First Line	:	7950 W JEFFERSON BLVD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46804-4140
Country	:	US
Telephone Number	:	260-479-3516
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2015
Last Update Date	:	06/29/2026

Similar Medicare Providers

1316370018 — MICHELLE D BOLYARD NP
Practice Location Address:

7916 W JEFFERSON BLVD
FORT WAYNE, IN
46804-4140

Practice Phone: 260-432-2297
Practice Fax: 260-434-6481

1245527803 — DR. FAHIM ZAMAN KHAN M.D.
Practice Location Address:

7950 W JEFFERSON BLVD
FORT WAYNE, IN
46804-4140

Practice Phone: 260-432-2297
Practice Fax: 260-434-6481

1437445137 — WALGREEN CO
Practice Location Address:

7950 W JEFFERSON BLVD STE 1B005
FORT WAYNE, IN
46804-4140

Practice Phone: 260-432-3110
Practice Fax: 260-432-2990

1891625604 — DELANEY PARTYKA
Practice Location Address:

7950 W JEFFERSON BLVD
FORT WAYNE, IN
46804-4140

Practice Phone: 260-435-7001
Practice Fax:

1457354433 — DR. THOMAS L LAZOFF M.D.
Practice Location Address:

7956 W JEFFERSON BLVD
FORT WAYNE, IN
46804-4140

Practice Phone: 260-458-3640
Practice Fax: 260-479-1819

1760486187 — HEATHER J. WOLFE MD
Practice Location Address:

7950 W JEFFERSON BLVD STE 210
FORT WAYNE, IN
46804-4140

Practice Phone: 260-435-2852
Practice Fax: 260-435-6695

Directions to “ SHAWNA BOYLE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.