Susan K Boyer, MD LLC
NPI 1639456064ActiveOrganization· Exclusive Provider Organization· Saint Louis, MO
Exclusive Provider Organization in Saint Louis, Missouri, registered in NPPES in November 2011. The authorized official on file is Susan Boyer, MD, Psychiatrist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639456064 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 14, 2011 |
| Last updated in NPPES | Feb 13, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Exclusive Provider Organization Primary | 302F00000X | 103713 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MO) |
|---|
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