Matthew Eric Boyer, DO

Primary specialty

Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X

License

10122A Issued in WY

Practice address

1000 E University Ave Dept 3414
Laramie, WY 82071-2000

Phone

(307) 766-5071

Fax

(307) 766-2112

NPI assigned

May 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)
• Jackson County Memorial Hospital Authority

  • Critical Access Hospital
  • Hollis, OK
  • NPI 1295735991
  NPD (past)
• Skaggs Community Hospital Association

  • Emergency Medicine Physician
  • Branson, MO
  • NPI 1073686879
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1801842703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E UNIVERSITY AVE DEPT 3414",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820712000",
            "telephone_number": "307-766-5071",
            "fax_number": "307-766-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E UNIVERSITY AVE DEPT 3414",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820712000",
            "telephone_number": "307-766-5071",
            "fax_number": "307-766-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYER",
        "first_name": "MATTHEW",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "MO",
            "license": "2002013028",
            "primary": false
        },
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "SD",
            "license": "8867",
            "primary": false
        },
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "WY",
            "license": "10122A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801842703",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200364770B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregg Ellis Boughton, ATC, CSCS
• Nicholas Reid Bower
• Elizabeth Carol Bowles, PTA
• Lindsey Bowman
• Heidi Boyd
• Denise Boyles
• Ryan Boysen
• Joshua Brackett
• Samuel Brackett
• Annemari Bradin, PPC

• Sports Medicine (Emergency Medicine) Physician in Laramie, WY
• Providers in Laramie, WY by specialty
• Sports Medicine (Emergency Medicine) Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.