Jerry Craig Bouman, DO

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

2996 Issued in OK

Practice address

1902 S US Highway 59 BLDG D
Parsons, KS 67357-4955

Phone

(620) 423-1606

Fax

(620) 423-1668

NPI assigned

Feb 22, 2006

Last updated

Feb 5, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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, KS2 enrollments

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 2

Specialty

General Surgery

Education

Kansas City University of Med & Biosciences, College of Osteo Med, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Labette County Medical CenterGroup PAC ID 5496664369, 74 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Labette Health Hospital, Parsons, KS, CCN 170120

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jbouman@lh.gwaydirect.com
• Direct secure messaging: jbouman305130@direct.saintfrancis.com

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

• Labette County Medical Center

  dba LCMC ER Physician Group

  • Family Medicine Physician
  • Parsons, KS
  • NPI 1336133362
  Medicare reassignment Care Compare group NPD
• Warren Clinic Inc

  • General Practice Physician
  • Tulsa, OK
  • NPI 1174582282
  Medicare reassignment NPD
• Jerry C Bouman DO PC

  • Surgery Physician
  • Jenks, OK
  • NPI 1053522193
  NPD Authorized official
• Jerry C Bouman DO PC Inc

  • Ambulatory Surgical Clinic/Center
  • Parsons, KS
  • NPI 1598902223
  Authorized official Same address or phone
• Labette County Medical Center

  dba Labette Health Pittsburg Clinic

  • Rural Health Clinic/Center
  • Pittsburg, KS
  • NPI 1205524113
  NPD
• Labette County Medical Center

  dba Labette Health Physician's Group

  • Specialist
  • Parsons, KS
  • NPI 1891845475
  NPD
• Ctca Physicans Group of Oklahoma, Inc

  • Specialist
  • Tulsa, OK
  • NPI 1053309591
  NPD (past)
• Muskogee Medical Group PLLC

  dba Muskogee Surgical Group

  • Specialist
  • Muskogee, OK
  • NPI 1316072747
  NPD (past)
• Surgical Consultants of Muskogee PC

  • Specialist
  • Muskogee, OK
  • NPI 1912032335
  NPD (past)

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

• Labette County Medical Center

  dba Labette Health

  • General Acute Care Hospital
  • Parsons, KS
  • NPI 1578560421
  Care Compare affiliation

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1376518217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 S US HIGHWAY 59 BLDG D",
            "city": "PARSONS",
            "state": "KS",
            "postal_code": "673574955",
            "telephone_number": "620-423-1606",
            "fax_number": "620-423-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 S US HIGHWAY 59 BLDG D",
            "city": "PARSONS",
            "state": "KS",
            "postal_code": "673574955",
            "telephone_number": "620-423-1606",
            "fax_number": "620-423-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUMAN",
        "first_name": "JERRY",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "2996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Billiejo Nicole Bates
• Stephanie A Blackburn, APRN, PMHNP-BC
• Adele Bohn, RD, LD
• Michael Edward Bolt, MD
• Misti Bond Bond, BSN, RN
• Bowen Pharmacy Inc (Bowen Pharmacy)
• Bowen Pharmacy Inc (Bowen LTC Pharmacy)
• Bowen Pharmacy Inc (Bowen Pharmacy South)
• Chelsea Jean Bradfield, APRN
• William Brant

• Surgery Physician in Parsons, KS
• Providers in Parsons, KS by specialty
• Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.