Gary Allen Boyer, D.O.

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

2257 Issued in OK

Practice address

2100 W Iowa Ave
Chickasha, OK 73018-2736

Phone

(405) 224-2100

Fax

(405) 779-2310

NPI assigned

Dec 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1982763249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W IOWA AVE",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182736",
            "telephone_number": "405-224-2100",
            "fax_number": "405-779-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W IOWA AVE",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182736",
            "telephone_number": "405-224-2100",
            "fax_number": "405-779-2310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 W Iowa Ave",
            "address_purpose": "LOCATION",
            "city": "Chickasha",
            "state": "OK",
            "postal_code": "730182738",
            "country_code": "US",
            "telephone_number": "405-224-8111",
            "fax_number": "405-222-9587",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 W Iowa Ave",
            "address_purpose": "LOCATION",
            "city": "Chickasha",
            "state": "OK",
            "postal_code": "730182738",
            "country_code": "US",
            "telephone_number": "405-224-8111",
            "fax_number": "405-222-9587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYER",
        "first_name": "GARY",
        "middle_name": "ALLEN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "OK",
            "license": "2257",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "OK",
            "license": "2257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100100940A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR PTAN",
            "identifier": "P00854127",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Occupational Medicine Physician in Chickasha, OK
• Providers in Chickasha, OK by specialty
• Occupational Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.