Lauren Boydstun, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2329 Issued in OK

Practice address

11100 Hefner Pointe Dr Ste B
Oklahoma City, OK 73120-5049

Phone

(405) 608-6877

Fax

(405) 608-6899

NPI assigned

Mar 10, 2014

Last updated

Dec 23, 2014By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

• Plastic Surgery & Dermatology Associates, PLLC

  • Plastic Surgery Physician
  • Oklahoma City, OK
  • NPI 1023020864
  NPD (past)

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419292800000",
    "number": "1942626312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5366",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730835366",
            "telephone_number": "405-608-6877",
            "fax_number": "405-608-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 HEFNER POINTE DR STE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205049",
            "telephone_number": "405-608-6877",
            "fax_number": "405-608-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYDSTUN",
        "first_name": "LAUREN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "2329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Lee Boyd, PHARM.D.
• Harley Boyd
• Julie Boyd, APRN, FNP-C
• Louise Hope Boyd, LPC
• Lauren Boydstun, BCBA
• Seth Michael Boydstun, MD
• Curtis Boyer, M.ED., LPC
• Emily Ryan Boyer, MD
• Michelle Boyer
• Jennifer Anne Boyett, P.A.-C

• Medical Physician Assistant in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Medical Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.