EDLYNE BOYER (NPI# 1770981177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770981177 |
| Entity Type | Individual |
| Full Name | EDLYNE BOYER |
| Practice Address |
4 E Clark Bass Blvd Ste 205 Mcalester OK 74501-4285 |
| Practice Telephone | 9184218897 |
| Practice Fax Number | 9183020825 |
| Mailing Telephone | 9184218897 |
| Mailing Fax Number | 9183020825 |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2014-12-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
4 E CLARK BASS BLVD STE 205 |
| City | MCALESTER |
| State | OK |
| Zip Code | 74501-4285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063436947 | Brian Keith Rich | Emergency Medicine | 4 E Clark Bass Blvd Ste 205, Mcalester, OK 74501-4285 | 2006-07-26 |
| 1437638228 | Pmo Medical Pllc | Pain Medicine | 4 E Clark Bass Blvd Ste 205, Mcalester, OK 74501-4285 | 2018-08-13 |
| 1740636182 | Leah King | Technician, Other | 4 E Clark Bass Blvd Ste 205, Mcalester, OK 74501-4285 | 2016-05-04 |
| 1366840753 | Patty Backer | Specialist/Technologist, Other | 4 E Clark Bass Blvd Ste 205, Mcalester, OK 74501-4285 | 2014-12-17 |
| 1467850909 | Dana Jill Quinton | Specialist/Technologist, Other | 4 E Clark Bass Blvd Ste 205, Mcalester, OK 74501-4285 | 2014-12-16 |
| 1467677492 | Lee Halvor Simpson | Physician Assistant | 4 E Clark Bass Blvd Ste 205, Mcalester, OK 74501-4285 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371466 | Belfair of Mcalester LLC | Assisted Living Facility | 802 Windsong Way, Mcalester, OK 74501 | 2019-11-22 |
| 1912425018 | Jennifer Bird | Case Manager/Care Coordinator | 34 Harpoon Dr, Mcalester, OK 74501 | 2017-09-08 |
| 1073033502 | Natalie Aline Kitchell | Case Manager/Care Coordinator | 1303 Hickory Bend, Mcalester, OK 74501 | 2017-06-26 |
| 1265964308 | Phoenix Counseling and Assessment Center, Inc. | Community/Behavioral Health | 32 E Cherokee, Suite 104, Mcalester, OK 74501 | 2017-03-29 |
| 1215302799 | Christine Herron | Physical Therapy Assistant | 1029 E. Washington Ave, Mcalester, OK 74501 | 2015-12-09 |
| 1437538212 | Lauren White | Speech-Language Pathologist | 205 South 2nd, Mcalester, OK 74501 | 2015-05-26 |
| 1316344096 | Ashley Brooke Monks | Speech-Language Pathologist | 557 Broken Feather Lane, Mcalester, OK 74501 | 2014-11-25 |
| 1821407644 | William Joseph Kinderknecht | Family Medicine | 4 E. Clark Bass Blvd., Suite 301a, Mcalester, OK 74501 | 2014-08-06 |
| 1467795153 | Kensey Mckay Holman | Occupational Therapist | 903 E Monroe Ave Ste 200, Mcalester, OK 74501 | 2013-04-01 |
| 1821334418 | Delors J Simmons | Counselor | 600 North D St, Mcalester, OK 74501 | 2012-12-31 |
| Find all providers in zip 74501 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487187928 | Brian David Pullum | Specialist/Technologist, Other | 4 E Clark Bass Blvd, Suite 205, Mcalester, OK 74501-4269 | 2017-04-11 |
| 1083147912 | Benjamin Aaron Nicholas Calvert | Specialist/Technologist, Other | 4 E Clark Bass Blvd, Suite 205, Mcalester, OK 74501-4269 | 2017-04-07 |
| 1366840753 | Patty Backer | Specialist/Technologist, Other | 4 E Clark Bass Blvd Ste 205, Mcalester, OK 74501-4285 | 2014-12-17 |
| 1467850909 | Dana Jill Quinton | Specialist/Technologist, Other | 4 E Clark Bass Blvd Ste 205, Mcalester, OK 74501-4285 | 2014-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033649363 | Cortex Neuromonitoring LLC | Specialist/Technologist, Other | 7380 S Olympia Ave, Pmb #301, Tulsa, OK 74132-1849 | 2017-06-19 |
| 1316482284 | Us Neurologic, Pllc | Specialist/Technologist, Other | 3000 W. Memorial Rd., Ste 123-330, Oklahoma City, OK 73120 | 2016-12-30 |
| 1144672445 | Red River Neurodiagnostics, LLC | Specialist/Technologist, Other | 2410 W Memorial Rd Ste C, #609, Oklahoma City, OK 73134-8048 | 2016-07-11 |
| 1841644374 | Neurassure, LLC | Specialist/Technologist, Other | 5830 Nw Expressway # 325, Warr Acres, OK 73132-5239 | 2016-04-21 |
| 1053784934 | Reggie Vulgamore | Specialist/Technologist, Other | 12301 N Mcarthur Blvd Apt 1811, Oklahoma City, OK 73142-3056 | 2015-11-02 |
| 1629457387 | Halstead Monitoring LLC | Specialist/Technologist, Other | 2226 Shadowlake Dr, Oklahoma City, OK 73159-7440 | 2015-05-27 |
| 1972994671 | Parker Professional Reading LLC | Specialist/Technologist, Other | Dept 1137, Tulsa, OK 74182-0001 | 2015-02-17 |
| 1639573140 | Leslie Castro | Specialist/Technologist, Other | 405 E California Ave, Oklahoma City, OK 73104 | 2014-10-13 |
| 1215359310 | Samantha Bollich | Specialist/Technologist, Other | 860654 S 3430 Rd, Chandler, OK 74834-7078 | 2014-01-09 |
| 1881947596 | Kevin C Farrell | Specialist/Technologist, Other | 4175 S Saint Louis Ave, Tulsa, OK 74105-4013 | 2012-10-18 |
| Find all providers with the same taxonomy | ||||
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| 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.