Individual provider Active NPI

Terrence H Boring, MD

  • Specialist
  • Ada, OK
National Provider Identifier
1487654836
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
11690 Issued in OK
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

Updated by the provider on May 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100208560AMedicaidOK

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
I20120605000264 OK Practitioner - Orthopedic Surgery 6305820754 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11690OKMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Ambulatory Care Corporation CurrentSince Nov 28, 2019 Accepting new patients
Mercy Hospital Oklahoma City, Inc PastSince Jul 1, 2013 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.

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

Verify at the official NPI Registry.