MEDICARE: MRS. THOMASINE LAVON BOYD-JOHNSON

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	207RC0000X	Cardiovascular Disease Physician	1-079234	AL

General Provider Information

NPI Number	:	1659114999
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. THOMASINE LAVON BOYD-JOHNSON

Provider Business Mailing Address
First Line	:	1725 PINE ST
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36106-1117
Country	:	US
Telephone Number	:	334-293-8000
Fax Number	:	334-240-0505

Provider Business Practice Location Address
First Line	:	1758 PARK PL STE 401
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36106-1135
Country	:	US
Telephone Number	:	334-264-9191
Fax Number	:	334-264-9199

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

Provider Enumeration Date	:	06/14/2024
Last Update Date	:	06/14/2024

Similar Medicare Providers

1467304931 — MARY CATHERINE BROCK CRNP, FNP-C
Practice Location Address:

1758 PARK PL STE 401
MONTGOMERY, AL
36106-1135

Practice Phone: 334-264-9191
Practice Fax:

1639245707 — MONTGOMERY FAMILY PRACTICE PC
Practice Location Address:

1758 PARK PL STE 402
MONTGOMERY, AL
36106-1135

Practice Phone: 334-265-7255
Practice Fax: 334-265-9055

1710470554 — ANDREA KAYE STEINBRINK-VIRK CRNP
Practice Location Address:

1758 PARK PL STE 406
MONTGOMERY, AL
36106-1135

Practice Phone: 334-240-2348
Practice Fax:

1447813027 — HALEY HARVEY CLIFTON CRNP
Practice Location Address:

1758 PARK PL STE 401
MONTGOMERY, AL
36106-1135

Practice Phone: 334-264-9191
Practice Fax:

1619554755 — ERNESTINE B TAKANG CRNP
Practice Location Address:

1758 PARK PL STE 401
MONTGOMERY, AL
36106-1135

Practice Phone: 334-264-9191
Practice Fax: 334-264-9199

1992438071 — MR. RAYMOND DOUGLAS WHEAT III CRNP
Practice Location Address:

1758 PARK PL STE 406
MONTGOMERY, AL
36106-1135

Practice Phone: 334-240-2348
Practice Fax:

Directions to “ MRS. THOMASINE LAVON BOYD-JOHNSON ” 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.