Tonya Joy Boles, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

11850 Issued in OK

Practice address

6026 Battiest Pickens Rd
Broken Bow, OK 74728-5033

Phone

(580) 241-5294

Fax

(580) 241-5739

NPI assigned

Dec 15, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kiamichi Family Medical Center Inc. 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McCurtain Memorial Hospital Hospital, Idabel, OK, CCN 371342
• Paris Regional Medical Center Hospital, Paris, TX, CCN 450196

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GDGBBA
• FHIR API: https://fhir4.healow.com/fhir/r4/GDGBBA/Endpoint/GDGBBA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kiamichi Family Medical Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Broken Bow, OK
  • NPI 1134138720

  OK

  Medicare reassignment Care Compare group NPD (past)
• Kiamichi Family Medical Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Broken Bow, OK
  • NPI 1780172916
  Care Compare group NPD
• Kiamichi Family Medical Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Hugo, OK
  • NPI 1902269012
  Care Compare group NPD
• Kiamichi Family Medical Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Idabel, OK
  • NPI 1184633786
  Care Compare group
• Good Honest Medicine

  • Family Medicine Physician
  • Wright City, OK
  • NPI 1891847901
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• McCurtain Memorial Medical Management, Inc.

  • Critical Access Hospital
  • Idabel, OK
  • NPI 1063900975

  Hospital

  Care Compare affiliation
• Essent PRMC LP

  • General Acute Care Hospital
  • Paris, TX
  • NPI 1063411767

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429833600000",
    "number": "1104988070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 180",
            "city": "BATTIEST",
            "state": "OK",
            "postal_code": "747220180",
            "telephone_number": "580-241-5294",
            "fax_number": "580-241-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6026 BATTIEST PICKENS RD",
            "city": "BROKEN BOW",
            "state": "OK",
            "postal_code": "747285033",
            "telephone_number": "580-241-5294",
            "fax_number": "580-241-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLES",
        "first_name": "TONYA",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2015-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "11850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200026970A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Battles Broken Bow Family Clinic, LLC
• Leslie Orr Battles, CNP
• BBHR Opco, LLC
• Black Oak Clinic LLC
• Megan Elizabeth Black, APRN, C-NP
• Jade Chantelle Box, BHRS
• Brighter Heights Oklahoma, LLC
• Broken Bow Dentistry PLLC
• Broken Bow Health and Rehab LLC
• Brumley Counseling

• All providers in Broken Bow, OK
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.