Healthcare Provider Details

I. General information

NPI: 1730620162
Provider Name (Legal Business Name): HILLARY M O'BOYLE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HILLARY ANN MCCLINTIC MD

II. Dates (important events)

Enumeration Date: 03/18/2017
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 E MARSHALL ST
RICHMOND VA
23298-5023
US

IV. Provider business mailing address

PO BOX 980325
RICHMOND VA
23298-0325
US

V. Phone/Fax

Practice location:
  • Phone: 804-628-0562
  • Fax:
Mailing address:
  • Phone:
  • Fax: 804-827-1701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101270016
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: