Provider Demographics
NPI:1528078060
Name:BOYKO, ANDREW T (MD)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:T
Last Name:BOYKO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 3014
Mailing Address - Street 2:1215 DUFF AVE MCFARLAND CLINIC PC
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-3014
Mailing Address - Country:US
Mailing Address - Phone:515-239-2411
Mailing Address - Fax:515-956-2714
Practice Address - Street 1:1111 DUFF AVE
Practice Address - Street 2:MCFARLAND CLINIC PC
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-3014
Practice Address - Country:US
Practice Address - Phone:515-239-2155
Practice Address - Fax:515-239-2050
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA37638207P00000X
MT10320207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT3502642Medicaid
IA71658OtherBCBS
000095185OtherBCBS MT
P00021950OtherMEDICARE RAILROAD
IA1528078060Medicaid
000071550Medicare PIN
IAH58859Medicare UPIN
H58859Medicare UPIN
MT3502642Medicaid