MEDICARE: DR. THOMAS ANDREW BOYCE 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	208000000X	Pediatrics Physician	01057490A	IN

General Provider Information

NPI Number	:	1518962117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS ANDREW BOYCE MD

Provider Business Mailing Address
First Line	:	13250 HAZEL DELL PKWY
Second Line	:	STE 103
City	:	CARMEL
State	:	IN
Zip	:	46033-8527
Country	:	US
Telephone Number	:	317-843-9475
Fax Number	:	317-843-9476

Provider Business Practice Location Address
First Line	:	13250 HAZEL DELL PKWY
Second Line	:	STE 103
City	:	CARMEL
State	:	IN
Zip	:	46033-8527
Country	:	US
Telephone Number	:	317-843-9475
Fax Number	:	317-843-9476

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

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	01/31/2024

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