Nathan Altus Boren Jr., MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20239 Issued in OK

Practice address

7313 S Western Ave
Oklahoma City, OK 73139-2007

Phone

(405) 251-8884

Fax

(405) 665-7042

NPI assigned

Feb 22, 2006

Last updated

Jul 16, 2024By the provider in NPPES

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

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

Specialty

Family Practice

Education

University of Oklahoma College of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Archwell Health Professional Services of Oklahoma LLCGroup PAC ID 6608272638, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Archwell Health Professional Services of Oklahoma, LLC

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1457934895
  Medicare reassignment Care Compare group NPD
• Board of Regents of the University of Oklahoma--Ou Health Services

  • Student Health Clinic/Center
  • Norman, OK
  • NPI 1548372626
  Medicare reassignment
• Norman Minor Emergency of NRH

  dba NRH Urgent Care Center

  • Family Medicine Physician
  • Norman, OK
  • NPI 1891744785
  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1508831447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250",
            "fax_number": "615-692-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7313 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731392007",
            "telephone_number": "405-251-8884",
            "fax_number": "405-665-7042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 Elm Ave",
            "address_2": "O.U. Health Services",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730193146",
            "country_code": "US",
            "telephone_number": "405-325-4611 x41158",
            "fax_number": "405-325-7065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOREN",
        "first_name": "NATHAN",
        "middle_name": "ALTUS",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "20239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Lynn Boozer, APRN-CNP
• Alex C Borba
• George Borden, LMSW
• Blayne Bordwine
• Chris Russell Boren
• Sherrie Boren, OTA/L
• Anneke Borg
• Martin Borhani, MD
• Angela D Borin, RD/LD
• Evgenii Boriushkin

• Family Medicine Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.