Jacquelyn D Boyd DO PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

JACQUELYN D BOYD DO PLLC

Practice address

3441 24TH Ave NW Ste 105
Norman, OK 73069-6716

Phone

(405) 321-2929

Fax

(405) 366-8701

NPI assigned

Aug 7, 2020

Last updated

Sep 16, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacquelyn Desiree Macintosh, DONPI 1346696531

Title

Physician

Phone

(405) 321-2929

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacquelyn Desiree Macintosh, DO

  • Obstetrics & Gynecology Physician
  • Norman, OK
  • NPI 1346696531

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1205446887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 ALAMOSA RD",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730693128",
            "telephone_number": "405-812-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3441 24TH AVE NW STE 105",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696716",
            "telephone_number": "405-321-2929",
            "fax_number": "405-366-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELYN D BOYD DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "MACINTOSH",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "DESIREE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "405-321-2929",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200929210A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Torey Jackson
• Jacob T Smith OD PLLC (Classic Vision)
• Jacob T. Smith, O.D. PLLC
• Reena Jacob, MD
• Breanna Jacobitz, DO
• Jacquelyn Powers OD PC
• Farzana Jahangir
• James a Lynn Crna PC
• James E Love MD PC
• James R. Yeary P.L.L.C.

• Obstetrics & Gynecology Physician in Norman, OK
• Providers in Norman, OK by specialty
• Obstetrics & Gynecology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.