Landin Boler

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

108944 Issued in OK

Practice address

9600 Broadway Ext Ste B103
Oklahoma City, OK 73114-7408

Phone

(405) 715-3610

NPI assigned

Sep 4, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Medical Professionals PLLCGroup PAC ID 5991970279, 103 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Integris Canadian Valley Hospital Hospital, Yukon, OK, CCN 370211

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Anesthesia Medical Professionals, PLLC

  • Anesthesiology Physician
  • Edmond, OK
  • NPI 1962785931
  Medicare reassignment Care Compare group NPD
• Western Oklahoma Anesthesia Consultants PLLC

  • Anesthesiology Physician
  • Elk City, OK
  • NPI 1881102614
  Medicare reassignment NPD
• Anesthesia Medical Professionals Edmond LLC

  • Anesthesiology Physician
  • Oklahoma City, OK
  • NPI 1265376677
  Medicare reassignment

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

• Integris Canadian Valley Hospital

  • General Acute Care Hospital
  • Yukon, OK
  • NPI 1306865357
  Care Compare affiliation

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1265046403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13618",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731131618",
            "telephone_number": "405-715-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 BROADWAY EXT STE B103",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731147408",
            "telephone_number": "405-715-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLER",
        "first_name": "LANDIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "108944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deaysha Lashawn Bolden
• Derwin Bolden, LPC
• Tequdzia Bolden, BHRS
• Brock Dean Bolding, PT, DPT
• Jessica Blair Bolen
• Alaya Bolin
• Sara Bolin
• Audrianna Jeanette Bolinger Helzer
• Haley Bollinger, APRN, FNP-C
• Tracy Bollinger

• Certified Registered Nurse Anesthetist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Certified Registered Nurse Anesthetist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.