Individual provider Active NPI

Edgar Morris Boyd Jr., M.D.

  • Otolaryngology Physician
  • Muskogee, OK
National Provider Identifier
1235102948
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
18352 Issued in OK
Practice address
1805 N York St
Suite F
Muskogee, OK 74403-1404
Phone
(918) 682-4580
Fax
(918) 681-4566
NPI assigned
Feb 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 18352 OK Primary

Addresses

Primary practice location

1805 N York St
Suite F
Muskogee, OK 74403-1404

Mailing address

1805 N York St
Suite F
Muskogee, OK 74403-1404
Phone (918) 682-4580

Other identifiers 1

IdentifierTypeStateIssuer
100848310AMedicaidOK

Other names 1

  • Dr. Edgar M Boyd Jr. Other name

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081204000982 OK Practitioner - Otolaryngology 0143241554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Tennessee, HSC, College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warren Clinic IncGroup PAC ID 8820900293, 787 clinicians

Practice addresses (Care Compare)

101 Rockefeller Dr
Suite 201
Muskogee, OK 74401-5050
Phone (918) 682-4580

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18352OKMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Clinic Inc CurrentSince Apr 1, 2017 Accepting new patients
Muskogee Pet and Nuclear Imaging PastSince Dec 13, 2005 Accepting new patients
Saint Francis Hospital Muskogee Inc Past Accepting new patients

Locations

101 Rockefeller Dr
Ste 203
Muskogee, OK 74401
Phone (918) 681-6847

101 Rockefeller Dr
Ste 201
Muskogee, OK 74401
Phone (918) 682-4580

211 S 36th St
Muskogee, OK 74401
Phone (918) 682-1339

6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

Interoperability endpoints

  • Direct secure messaging: eboyd100745@direct.saintfrancis.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1139702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1235102948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 N YORK ST",
            "address_2": "SUITE F",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744031404",
            "telephone_number": "918-682-4580",
            "fax_number": "918-681-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 N YORK ST",
            "address_2": "SUITE F",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744031404",
            "telephone_number": "918-682-4580",
            "fax_number": "918-681-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "EDGAR",
        "middle_name": "MORRIS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-12",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OK",
            "license": "18352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100848310A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDGAR",
            "last_name": "BOYD",
            "middle_name": "M",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Muskogee, OK

Sources for this page

Verify at the official NPI Registry.