Amanda Marie Boyd, PA
Individual provider Active NPI Physician Assistant · Norman, OK
NPI 1689490203 · NPPES record last updated Nov 27, 2024
Key facts
- NPI
- 1689490203
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5353 (OK)
- Practice address
- 3400 W Tecumseh Rd Ste 101
Norman, OK 73072-1810 - Phone
- (405) 360-6764
- Fax
- (405) 360-6769
- NPI assigned
- Nov 27, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ortho Central
Practice addresses (Care Compare)
3300 Healthplex Pkwy
Norman, OK 73072-9749
Phone (405) 515-1000
3400 E Tecumseh Rd
Norman, OK 73072-1810
Hospital & facility affiliations
- Norman Regional
- SSM Health St Anthony Hospital - Oklahoma City
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241216002786 | OK | Practitioner - Physician Assistant | 5193152973 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5353 | OK | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ortho Central | Current |
Accepting new patients | |
| Norman Regional Hospital Authority | Past | Accepting new patients | |
| Ortho Central | Physician Assistant | Past | Accepting new patients |
Locations
3400 W Tecumseh Rd
Ste 101
Norman, OK 73072
Phone (405) 515-0649
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5353 | OK | Yes |
Addresses
Primary practice location
3400 W Tecumseh Rd Ste 101
Norman, OK 73072-1810
Mailing address
3400 W Tecumseh Rd Ste 101
Norman, OK 73072-1810
Phone (405) 360-6764
Other providers in Norman, OK
- Cristi Jeane Bowerman
- Sophia Bowie
- Jon Ryan Bowman
- Kimberly Ann Bowman
- Aaron Lee Boyd
- Brooklyn Shanae Boyd
- Caitlin Boyd
- Danny Kent Gleeman Boyd
- Harry S Boyd
- Lisa Jeanette Boyd
All providers in Norman, OK · Physician Assistant in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.