Individual provider Active NPI

Bo Tanner Neichoy, M.D.

  • Surgery Physician
  • Amarillo, TX
National Provider Identifier
1487857942
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
P2317 Issued in TX
Practice address
1301 S Coulter St
Ste 413
Amarillo, TX 79106-1763
Phone
(806) 677-7952
Fax
(806) 353-6081
NPI assigned
Jun 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X P2317 TX Primary

Addresses

Primary practice location

1301 S Coulter St
Ste 413
Amarillo, TX 79106-1763

Mailing address

1301 S Coulter St
Ste 413
Amarillo, TX 79106-1763
Phone (806) 677-7952

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120713000346 TX Practitioner - General Surgery 7618132879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Texas Medical School at Houston, 2007
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Matthew Bleu Schniederjan MD PLLCGroup PAC ID 3678730082, 4 clinicians

Practice addresses (Care Compare)

1301 S Coulter St
Suite 413
Amarillo, TX 79106-1763
Phone (806) 677-7952

Hospital & facility affiliations

  • Bsa Hospital Hospital, Amarillo, TX, CCN 450231
  • Ochiltree General Hospital Hospital, Perryton, TX, CCN 451359

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux24

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew Bleu Schniederjan MD PLLC CurrentSince Aug 31, 2013 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

1301 S Coulter St
Ste 413
Amarillo, TX 79106
Phone (806) 336-2437

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.

Hospital & facility affiliations 3

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": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1487857942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S COULTER ST",
            "address_2": "STE 413",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061763",
            "telephone_number": "806-677-7952",
            "fax_number": "806-353-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S COULTER ST",
            "address_2": "STE 413",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061763",
            "telephone_number": "806-677-7952",
            "fax_number": "806-353-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEICHOY",
        "first_name": "BO",
        "middle_name": "TANNER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-11",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "P2317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.