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ETHAN GEORGE BOYKO
NPI 1508791120
Anesthesiologist Assistant in Rock Hill, SC

Active since June 15, 2026
222 HERLONG AVE S, ROCK HILL, SC 29732(803) 329-6711(803) 329-5120 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ethan George Boyko NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN GEORGE BOYKO (NPI 1508791120) is an individual anesthesiologist assistant in Rock Hill, South Carolina, licensed in South Carolina (173) and active in the NPI registry since June 2026. He maintains a secondary practice location in Fort Mill and is a graduate of Other (2026).

NPPES Registry Identity

NPI1508791120
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameETHAN GEORGE BOYKO
Location Address222 HERLONG AVE SRock Hill, SC 29732-1158
Mailing Address222 Herlong Ave SRock Hill, SC 29732-1158 · (803) 329-6711 · Fax (803) 329-5120
Phone(803) 329-6711
Fax(803) 329-5120
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJune 15, 2026
Last NPPES UpdateJuly 16, 2026
NPPES CertifiedJuly 16, 2026
✔ NPI 1508791120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in SC · 173
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
222 HERLONG AVE S, Rock Hill, SC 29732
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Secondary Practice Location 1

Location 11000 Wellness WayFort Mill, SC 29715-7315 · Phone (803) 802-3662

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan George Boyko is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789140278
PECOS Enrollment IDI20260724003400

Medicare Billing Reassignment

Medicare enrollment records show Ethan Boyko reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anesthesia Associates Of Rock Hill, P.A.
Same address
Anesthesiology
222 S HERLONG AVE, ANESTHESIA DEPARTMENT
Rock Hill, SC 29732
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: Anesthesia Associates Of Rock Hill PA
  • 98 clinicians in this Medicare group
NPI 1811977200 (803) 329-6711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIKA CHRISTINE DRUTIS PHARMD
Pharmacist
222 HERLONG AVE S
ROCK HILL, SC 29732
York County (803) 329-1234
GREGORY ALLEN JONES MD
Radiology (Vascular & Interventional Radiology)
222 HERLONG AVE S
ROCK HILL, SC 29732
York County (803) 329-1234
DR. JADE REID MD
Emergency Medicine
222 HERLONG AVE S
ROCK HILL, SC 29732
York County (803) 329-1234
GABRIELLE RIVERS PA-C
Physician Assistant
222 HERLONG AVE S
ROCK HILL, SC 29732
York County (803) 329-1234
BRIANNA LEE HERNANDEZ MS
Anesthesiologist Assistant
222 HERLONG AVE S
ROCK HILL, SC 29732
York County (803) 329-6711
AMIR REZA HASHEMI MD
Emergency Medicine
222 HERLONG AVE S
ROCK HILL, SC 29732
York County (803) 329-1234
DR. NATHANIEL JAMES KESNER D.O.
Internal Medicine
222 HERLONG AVE S
ROCK HILL, SC 29732
York County (803) 329-1234
DR. QAISER TOQEER M.D
Hospitalist
222 HERLONG AVE S
ROCK HILL, SC 29732
York County (803) 324-3500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Boyko's NPI number?

The NPI number for Ethan Boyko is 1508791120. It was assigned to this individual provider in the NPPES registry on June 15, 2026.

Where is Ethan Boyko located?

Ethan Boyko practices at 222 Herlong Ave S, Rock Hill, SC 29732. The listed phone number is (803) 329-6711.

What is Ethan Boyko's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Ethan Boyko enrolled in Medicare?

Yes. Ethan Boyko is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ethan Boyko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Boyko reassigns Medicare benefits to Anesthesia Associates Of Rock Hill, P.A. (Rock Hill, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ethan Boyko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ethan Boyko was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.