MARC RICHARD BOSTIAN (NPI# 1053559310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053559310 |
| Entity Type | Individual |
| Full Name | MARC RICHARD BOSTIAN |
| Practice Address |
3545 Nw 58th St Ste 330 Oklahoma City OK 73112-4718 |
| Practice Telephone | 4058193241 |
| Mailing Telephone | 4058193241 |
| Enumeration Date | 2009-01-25 |
| Last Update Date | 2009-01-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3545 NW 58TH ST STE 330 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-4718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952546673 | Duramed, Inc | Durable Medical Equipment & Medical Supplies | 3545 Nw 58th St Ste 330, Oklahoma City, OK 73112-4718 | 2008-12-09 |
| 1508001223 | William F Davey | Durable Medical Equipment & Medical Supplies | 3545 Nw 58th St Ste 330, Oklahoma City, OK 73112-4718 | 2008-12-09 |
| 1235374950 | Jason James | Durable Medical Equipment & Medical Supplies | 3545 Nw 58th St Ste 330, Oklahoma City, OK 73112-4718 | 2008-12-09 |
| 1407091127 | Rickey Brady | Durable Medical Equipment & Medical Supplies | 3545 Nw 58th St Ste 330, Oklahoma City, OK 73112-4718 | 2008-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093209629 | Billy Joe James | Orthotic Fitter | 425 Eagle Creek Way, Oklahoma City, OK 73117-1045 | 2018-06-18 |
| 1811134851 | Benjamin J Lawson | Orthotic Fitter | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2009-01-13 |
| 1164677456 | Tanika Ashee' Henderson | Orthotic Fitter | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2008-12-01 |
| 1790938223 | Willie Montgomery | Orthotic Fitter | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2008-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053506121 | Mercer Beauty Supply | Orthotic Fitter | 1016 Sw D Ave, Lawton, OK 73501 | 2007-09-11 |
| 1013093236 | Jenar Inc | Orthotic Fitter | 3936 S Hudson, Tulsa, OK 74135-5608 | 2006-10-31 |
| 1881696177 | Anthony W Layton | Orthotic Fitter | 15 Sw B Ave, Lawton, OK 73501-4006 | 2005-06-01 |
| 1487181673 | Stephen Garrett Silva | Orthotic Fitter | 6052 S Sheridan Rd, Tulsa, OK 74145-9212 | 2017-05-18 |
| 1326340639 | Jamie H Meltzner | Orthotic Fitter | 2601 Edinburgh Dr, Edmond, OK 73013-9019 | 2010-11-19 |
| 1790922334 | Peggy J Miner | Orthotic Fitter | 6052 S Sheridan Rd, Tulsa, OK 74145-9212 | 2009-01-20 |
| 1639316383 | Kory Sams | Orthotic Fitter | 2116 E 15th St, Tulsa, OK 74104-4614 | 2009-01-17 |
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
Please comment or provide details below to improve the information on MARC RICHARD BOSTIAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.