Michael Frank Boyer, M.D.
Individual provider Active NPI Pain Medicine (Anesthesiology) Physician · McAlester, OK
NPI 1831189695 · NPPES record last updated Mar 16, 2010
Key facts
- NPI
- 1831189695
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- License
- 13645 (OK)
- Practice address
- 4 E Clark Bass Blvd
Suite # 205
McAlester, OK 74501-4285 - Phone
- (918) 421-8897
- Fax
- (918) 302-0825
- NPI assigned
- Oct 24, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in TX, OK, NM, CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050706001033 | TX | Practitioner - Anesthesiology | 7719878131 | |
| I20050822000267 | OK | Practitioner - Anesthesiology |
7719878131 | Reassigns benefits to 1 organization |
| I20171010001177 | NM | Practitioner - Anesthesiology |
7719878131 | Reassigns benefits to 1 organization |
| I20220207000972 | CA | Practitioner - Anesthesiology |
7719878131 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13645 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deming Hospital Corporation | Current | Accepting new patients | |
| Deming Hospital Corporation | Pain Medicine | Current |
Accepting new patients |
| Choctaw County City of Hugo Hospital Authority | Current |
Accepting new patients | |
| Deming Hospital Corporation | Current |
Accepting new patients | |
| Rosebud Indian Health Service | Past | Accepting new patients |
Locations
900 W Ash St
Deming, NM 88030
Phone (505) 546-2761
905 S 8th St
Deming, NM 88030
Phone (575) 543-7200
603 NE 2nd St
Antlers, OK 74523
Phone (580) 298-3351
1405 E Kirk St
Hugo, OK 74743
Phone (580) 317-9500
Interoperability endpoints
- dr.boyer@maarsi-ok.direct.office.nextgen.com
- mfboyer@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 13645 | OK | Yes |
Addresses
Primary practice location
4 E Clark Bass Blvd
Suite # 205
McAlester, OK 74501-4285
Mailing address
4 E Clark Bass Blvd
Suite # 205
McAlester, OK 74501-4285
Phone (918) 421-8897
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100190100A | Medicaid | OK |
Other providers in McAlester, OK
- Richard T Bowden
- Kylie Bowen
- Danielle Kalyn Bowers
- Cameron Box
- Edlyne Boyer
- Linda Elaine Bradish
- Melville Douglas Bradley
- Jason Lee Brake
- Michele Deann Brake
- Misty Quinn Branam
All providers in McAlester, OK · Pain Medicine (Anesthesiology) Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2010. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.