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

Shawna Boyle, MD

Individual provider Urology Physician · NPI 1518347913

Shawna Boyle, MD is an Urology in Fort Wayne, Indiana. Graduated from University of Calgary, Faculty of Medicine in 2006, 20 years ago. Practices with The Southeast Permanente Medical Group, a 826-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in District of Columbia, Georgia, Indiana and North Carolina and 2 more.

Years since qualifying
20
Trained at
University of Calgary, Faculty of Medicine
Licensed in
DC, GA, IN, NC, NE, TN
In the registry since
2015
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone: (260) 479-3516
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1 Medical Park Blvd, Bristol, TN 37620-7430 — (423) 844-1121
  • 400 N State Of Franklin Rd, Johnson City, TN 37604-6035 — (423) 431-6111
  • 2204 Pavilion Dr Ste 310, Kingsport, TN 37660-4653 — (423) 246-4155

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 01091331A (IN)
Urology Physician Taxonomy 208800000X · Licence 2021-02763 (NC)
Urology Physician Taxonomy 208800000X · Licence 104009 (GA)
Urology Physician Taxonomy 208800000X · Licence 72097 (TN)
Urology Physician Taxonomy 208800000X · Licence 30567 (NE)
Urology Physician Taxonomy 208800000X · Licence MD042404 (DC)

Record details

NPI number1518347913
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 2, 2015
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026
Mailing address13507 Cassia Way St, San Antonio, TX 78232-4815

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolUNIVERSITY OF CALGARY, FACULTY OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice The Southeast Permanente Medical Group — 826 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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