Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Derrick Boyd, PA

Individual provider Medical Physician Assistant · NPI 1962668657

Mr. Derrick Boyd, PA is a Medical Physician Assistant in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2008
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

561 Fairthorne Ave Fairmount Behavioral Health System
Philadelphia, PA 19128
Phone: (215) 582-3405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA003235L (PA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA003235L (PA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence MA003235L (PA)

Record details

NPI number1962668657
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedAugust 1, 2008
Last updated in NPPESMay 1, 2015

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