Edgar M. Boyd, Jr. M.D. PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

18352 Issued in OK

Legal business name

EDGAR M. BOYD, JR. M.D. PC

Practice address

101 Rockefeller Dr Ste 203
Muskogee, OK 74401-5050

Phone

(918) 682-4580

Fax

(918) 681-4566

NPI assigned

Nov 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Edgar Morris Boyd Jr., M.D.

Title

Physcian

Phone

(918) 682-4580

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1992950059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ROCKEFELLER DR",
            "address_2": "STE 203",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "74401",
            "telephone_number": "918-682-4580",
            "fax_number": "918-681-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ROCKEFELLER DR STE 203",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744015050",
            "telephone_number": "918-682-4580",
            "fax_number": "918-681-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGAR M. BOYD, JR. M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-17",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "MORRIS",
        "authorized_official_title_or_position": "PHYSCIAN",
        "authorized_official_telephone_number": "918-682-4580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "OK",
            "license": "18352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100848310A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7214386",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Otolaryngology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.