Individual provider Active NPI

David E Boike, MD

  • Specialist
  • Batesville, AR
National Provider Identifier
1699776104
Registry record updated Jun 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
E2312 Issued in AR
Practice address
3443 Harrison St
Batesville, AR 72501-8820
Phone
(870) 698-1635
Fax
(870) 793-3196
NPI assigned
Aug 9, 2005
Last updated
Jun 29, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X E2312 AR Primary

Addresses

Primary practice location

3443 Harrison St
Batesville, AR 72501-8820

Mailing address

3443 Harrison St
Batesville, AR 72501-8820
Phone (870) 698-1635

Other identifiers 1

IdentifierTypeStateIssuer
139095001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20040521001216 AR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5294726733 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E2312ARMDSpecialist
17428COMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
White River Health System Inc Specialist CurrentSince Sep 26, 2017 Accepting new patients
White River Health System, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Mountain View Cardiology PC Past Accepting new patients
Mike C. Umerah, M.D. Inc. Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1710 Harrison St
Batesville, AR 72501
Phone (870) 262-1240

3443 Harrison St
Batesville, AR 72501
Phone (870) 698-1635

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498694400000",
    "number": "1699776104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725018820",
            "telephone_number": "870-698-1635",
            "fax_number": "870-793-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725018820",
            "telephone_number": "870-698-1635",
            "fax_number": "870-793-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOIKE",
        "first_name": "DAVID",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2017-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "E2312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139095001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

Verify at the official NPI Registry.