| Dr Henry Keith Boren, DO | |
|
905 Colony Dr, Ada, OK 74820-2329 | |
| (580) 436-5111 | |
| (580) 436-1159 |
| Full Name | Dr Henry Keith Boren |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 905 Colony Dr, Ada, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205849767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2255 (Oklahoma) | Primary |
| 2083A0100X | Preventive Medicine - Aerospace Medicine | 2255 (Oklahoma) | Secondary |
| Entity Name | Central Oklahoma Family Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831291293 PECOS PAC ID: 9931189685 Enrollment ID: O20040722001013 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Henry Keith Boren, DO 527 W 3rd St, Konawa, OK 74849-1415 Ph: (580) 925-3286 | Dr Henry Keith Boren, DO 905 Colony Dr, Ada, OK 74820-2329 Ph: (580) 436-5111 |
Jolene Jessica Lobo, Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 800-851-9136 |
Dr. James L Green, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820 Phone: 580-436-3980 |
David Frow, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980 Fax: 580-421-6283 |
Rikki J Scoggin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980 Fax: 580-421-6283 |
Dr. Joshua Priddle, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 905 Colony Dr, Ada, OK 74820 Phone: 580-436-5111 Fax: 580-436-1159 |
Dr. Joanne Chinnici, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2513 Timber Ter, Ada, OK 74820 Phone: 580-399-7716 |
Dr. Amber Holbein, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 807 N Monte Vista St, Ada, OK 74820 Phone: 580-332-8855 Fax: 580-332-7374 |