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NPI Code Detail

MEDICARE: R TYLER BOONE MD

MEDICARE: R TYLER BOONE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician18846OK
2207XS0117XOrthopaedic Surgery of the Spine Physician18846OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710987938
Entity Type Code : Individual
Provider Name (Legal Business Name) : R TYLER BOONE MD
Provider Business Mailing Address
First Line : 2488 E 81ST ST STE 290
Second Line :
City : TULSA
State : OK
Zip : 74137-4299
Country : US
Telephone Number : 918-927-3226
Fax Number : 918-927-3193
Provider Business Practice Location Address
First Line : 2488 E 81ST ST STE 290
Second Line :
City : TULSA
State : OK
Zip : 74137-4299
Country : US
Telephone Number : 918-494-2665
Fax Number : 918-927-3201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2005
Last Update Date : 01/11/2026

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Directions to “ R TYLER BOONE MD” Practice Location

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