Active NPI
Justin Joel Boe, M.D.
- Diagnostic Radiology Physician
- Edmond, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 25546
- Practice address
- 1408 Glenolde PL
Edmond, OK 73003-2668 - Phone
- (952) 595-1301
- Fax
- (612) 294-4903
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A97272 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | 25546 | OK | Primary |
| Diagnostic Radiology Physician | 2085R0202X | A97272 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | 44935 | KY |
Addresses
Primary practice location
1408 Glenolde PL
Edmond, OK 73003-2668
Mailing address
11995 Singletree LN
Suite 500
Eden Prairie, MN 55344-5347
Phone (952) 595-1301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX, MI, TN, MO, IL, NY, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 8
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120718000755 | OK | Practitioner - Diagnostic Radiology | 5496754988 | Reassigns benefits to 23 organizations |
| I20130723000071 | TX | Practitioner - Diagnostic Radiology | 5496754988 | Reassigns benefits to 4 organizations |
| I20230410001824 | MI | Practitioner - Diagnostic Radiology | 5496754988 | Reassigns benefits to 1 organization |
| I20231117000903 | TN | Practitioner - Diagnostic Radiology | 5496754988 | Reassigns benefits to 1 organization |
| I20240409002032 | MO | Practitioner - Diagnostic Radiology | 5496754988 | Reassigns benefits to 1 organization |
| I20240416000477 | IL | Practitioner - Diagnostic Radiology | 5496754988 | Reassigns benefits to 1 organization |
| I20240613000772 | NY | Practitioner - Diagnostic Radiology | 5496754988 | Reassigns benefits to 1 organization |
| I20251015000851 | KY | Practitioner - Diagnostic Radiology | 5496754988 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Hurley Plasa
9W Hurley Maternal Fetal Medicine
Flint, MI 48503-5902
Phone (810) 262-4787
1 Hurley PLZ
Flint, MI 48503-5902
1200 Childrens Ave
Oklahoma City, OK 73104-4637
Phone (405) 271-2669
1408 Glenolde PL
Edmond, OK 73003-2668
Phone (713) 461-3573
160 E Main St
Port Jervis, NY 12771-2114
Phone (718) 223-4685
1700 Medical Ctr Pkwy
Murfreesboro, TN 37129-2245
Phone (615) 396-4587
4512 W Memphis St
Broken Arrow, OK 74012-8864
Phone (615) 312-0600
4816 Arbuckle Dr
Edmond, OK 73025-9616
Phone (337) 439-4706
4816 Arbuckle Dr E
Edmond, OK 73025-9616
Phone (906) 449-3000
900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065
Hospital & facility affiliations
- Owensboro Health Regional Hospital
- Rapides Regional Medical Center
- Lake Charles Memorial Hospital
- Blessing Hospital
- Christus St Frances Cabrini Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A97272 | CA | MD | Diagnostic Radiology Physician |
| 44935 | KY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grady Memorial Hospital | Family Medicine | Current | Accepting new patients |
| Imaging Associates of Indiana, PC | Diagnostic Radiology | Current | Accepting new patients |
| Louisville Radiology Imaging Consultants, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Board of Regents of the University of Oklahoma - Ou Physicians | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| Coastal Radiology Associates, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of Southwest Louisiana | Diagnostic Radiology | Current | Accepting new patients |
| Greensboro Radiology, PA | Diagnostic Radiology | Current | Accepting new patients |
| Pikeville Medical Center Inc. | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Ton San Xavier Health Center | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Ton Sells Hospital | Current | Accepting new patients | |
| Sonoran Radiology LTD | Diagnostic Radiology | Current | Accepting new patients |
| Specialists in Medical Imaging, SC | Diagnostic Radiology | Current | Accepting new patients |
| Ton San Simon Health Center | Current | Accepting new patients | |
| Hurley Medical Center | Current | Accepting new patients | |
| Empire State Radiology P C | Diagnostic Radiology | Current | Accepting new patients |
| Grady Memorial Hospital | Current | Accepting new patients | |
| Adi Radiology PC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Affiliates of Central New Jersey PC | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Associates of Michigan PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Mori Bean and Brooks Inc | Diagnostic Radiology | Current | Accepting new patients |
| Board of Regents of the University of Oklahoma - Ou Physicians | Current | Accepting new patients | |
| Hurley Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Grady Memorial Hospital | Current | Accepting new patients | |
| Hurley Medical Center | Current | Accepting new patients | |
| Columbus Radiology Corp | Diagnostic Radiology | Current | Accepting new patients |
| Northside Radiology Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Eagle Partners, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Fred Smeltzer MD & Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| Pikeville Medical Center Inc | Current | Accepting new patients | |
| Singleton Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Alliance PC | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Associates of New Mexico LLC | Diagnostic Radiology | Current | Accepting new patients |
| Murfreesboro Radiology & Nuclear Medicine Consultants PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Virtual Radiologic Professionals of California, P.a | Diagnostic Radiology | Past | Accepting new patients |
| Second Avenue MRI LLC | Diagnostic Radiology | Past | Accepting new patients |
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
| Radiology Associates of Canton, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| West Florida Radiology Associates PA | Diagnostic Radiology | Past | Accepting new patients |
| Imaging Group of Delaware, PA | Diagnostic Radiology | Past | Accepting new patients |
| Citizens Medical Center County of Victoria | Past | Accepting new patients | |
| Ton San Xavier Health Center | Past | Accepting new patients | |
| Ton Sells Hospital | Past | Accepting new patients |
Locations (25 of 137)
3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444
2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200
1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285
1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000
3645 S Rome St
Ste 101
Gilbert, AZ 85297
5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555
6220 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 547-7230
17900 N Porter Rd
Maricopa, AZ 85138
Phone (520) 233-2500
1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000
6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000
1052 E McKellips Rd
Mesa, AZ 85203
Phone (480) 425-5080
6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000
10575 N Tatum Blvd
Ste C128
Paradise Vly, AZ 85253
Phone (480) 998-1490
807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222
9165 W Thunderbird Rd
Peoria, AZ 85381
Phone (623) 285-1120
10230 W Happy Valley Pkwy
Ste 100
Peoria, AZ 85383
Phone (623) 266-4699
13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800
19636 N 27th Ave
Ste LL1
Phoenix, AZ 85027
Phone (602) 485-7482
9250 N 3rd St
Ste 1002
Phoenix, AZ 85020
Phone (602) 216-6690
8825 N 23rd Ave
Ste 100
Phoenix, AZ 85021
Phone 41550438389238
26224 N Tatum Blvd
Phoenix, AZ 85050
Phone (480) 663-9632
9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000
19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720
18404 N Tatum Blvd
Ste 103
Phoenix, AZ 85032
Phone (602) 485-7490
33423 N 32nd Ave
Phoenix, AZ 85085
Phone (623) 474-1600
Interoperability endpoints
- jboe29649@ouhealth.direct-ci.net
- https://fhir.blessinghospital.com/R4/open-Prod
Organizations & group practices 47
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.
-
- Diagnostic Radiology Physician
- Duncan, OK
- NPI 1548450976
Diagnostic Radiology, OK
-
- Diagnostic Radiology Physician
- Franklin, TN
- NPI 1083266761
Diagnostic Radiology, OK
-
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1669408159
Diagnostic Radiology, OK
-
- Diagnostic Radiology Physician
- West Islip, NY
- NPI 1255962783
Diagnostic Radiology, NY, OK
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1699072611
Diagnostic Radiology, OK
-
- Diagnostic Radiology Physician
- Owensboro, KY
- NPI 1639115447
Diagnostic Radiology, OK
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
Diagnostic Radiology, OK
-
- Diagnostic Radiology Physician
- Murfreesboro, TN
- NPI 1316043524
Diagnostic Radiology, OK, TN
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1013960657
Diagnostic Radiology, OK
-
- Diagnostic Radiology Physician
- Nashville, TN
- NPI 1861478489
Diagnostic Radiology, OK
Hospital & facility affiliations 27
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Student Health Clinic/Center
- Pineville, LA
- NPI 1023139458
Hospital
-
- Student Health Clinic/Center
- Pineville, LA
- NPI 1093836421
Hospital
-
- Student Health Clinic/Center
- Provencal, LA
- NPI 1164687307
Hospital
-
- Student Health Clinic/Center
- Natchitoches, LA
- NPI 1356462782
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435104000000",
"number": "1205925864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11995 SINGLETREE LN",
"address_2": "SUITE 500",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553445347",
"telephone_number": "952-595-1301",
"fax_number": "612-294-4903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1408 GLENOLDE PL",
"city": "EDMOND",
"state": "OK",
"postal_code": "730032668",
"telephone_number": "952-595-1301",
"fax_number": "612-294-4903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOE",
"first_name": "JUSTIN",
"middle_name": "JOEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2015-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A97272",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OK",
"license": "25546",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A97272",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KY",
"license": "44935",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.