Active NPI
Terrence H Boring, MD
- Specialist
- Ada, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 11690
- Practice address
- 3101 Arlington
Suite B
Ada, OK 74820-3085 - Phone
- (580) 332-9100
- Fax
- (580) 332-8554
- NPI assigned
- Jul 28, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 11690 | OK | Primary |
Addresses
Primary practice location
3101 Arlington
Suite B
Ada, OK 74820-3085
Mailing address
530 N Monte Vista
Suite a
Ada, OK 74820-4675
Phone (580) 436-7101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100208560A | Medicaid | OK |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11690 | OK | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integris Ambulatory Care Corporation | Current | Accepting new patients | |
| Mercy Hospital Oklahoma City, Inc | Past | Accepting new patients |
Locations
2821 N Van Buren St
Ste A
Enid, OK 73703
Phone (580) 213-9799
5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589
1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932
119 Patton Dr
Ponca City, OK 74601
Phone (580) 576-4100
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1750333936
-
- Diagnostic Radiology Physician
- Yukon, OK
- NPI 1730326406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400025600000",
"number": "1487654836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 N MONTE VISTA",
"address_2": "SUITE A",
"city": "ADA",
"state": "OK",
"postal_code": "748204675",
"telephone_number": "580-436-7101",
"fax_number": "580-436-4447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 ARLINGTON",
"address_2": "SUITE B",
"city": "ADA",
"state": "OK",
"postal_code": "748203085",
"telephone_number": "580-332-9100",
"fax_number": "580-332-8554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORING",
"first_name": "TERRENCE",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2014-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OK",
"license": "11690",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100208560A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ada, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.