Boulevard Family Clinic LLC
NPI 1760774814ActiveOrganization· Family Medicine· Edmond, OK
Family Medicine in Edmond, Oklahoma, registered in NPPES in May 2011. The authorized official on file is T Denise Cato, Administrator.
Overview
| NPI | 1760774814 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 9, 2011 |
| Last updated in NPPES | May 9, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Family Medicine providers in Edmond
- 1689949885
- 1740943208
- 1477281244
- 1932299286
- 1760163497
- 1063790202
- 1760655773
- 1770344160
- 1225368350
- 1588003164
- 1720931223
- 1376318600