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JERRY C BOUMAN DO PC
NPI 1053522193
Surgery in Jenks, OK

Active since May 24, 2007
715 W MAIN ST, SUITE H, JENKS, OK 74037(918) 296-0900(918) 296-0985 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerry C Bouman Do Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY C BOUMAN DO PC (NPI 1053522193) is a healthcare organization registered as a surgery in Jenks, Oklahoma and active in the NPI registry since May 2007. The organization lists Jerry Bouman, Physician, as its authorized official.

NPPES Registry Identity

NPI1053522193
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameJERRY C BOUMAN DO PC
Location Address715 W MAIN ST, SUITE HJenks, OK 74037-3554
Mailing AddressPo Box 21568Tulsa, OK 74121-1568 · (918) 296-0900 · Fax (918) 296-0985
Phone(918) 296-0900
Fax(918) 296-0985
Organization SubpartNo
Authorized OfficialJerry BoumanPhysician · (918) 296-0900
Enumeration DateMay 24, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1053522193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OK · 2996
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
715 W MAIN ST, Jenks, OK 74037
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACQLYN NICOLE HURST APRN-PNP
Nurse Practitioner (Pediatrics)
715 W MAIN ST
JENKS, OK 74037
Tulsa County (918) 745-0501
RE VISION COUNSELING SERVICES, PLLC
Community/Behavioral Health
715 W MAIN ST, SUITE H
JENKS, OK 74037
Tulsa County (918) 995-2233
DR. PAUL A WARUSZEWSKI D.O.
Family Medicine
715 W MAIN ST, SUITE S
JENKS, OK 74037
Tulsa County (918) 299-9447
ELIZABBETH HILL
Counselor (Mental Health)
715 W MAIN ST, H
JENKS, OK 74037
Tulsa County (918) 995-2233
SOUTH TULSA PHYSICAL THERAPY LIMITED PARTNERSHIP
Clinic/Center (Physical Therapy)
715 W MAIN ST, SUITE F
JENKS, OK 74037
Tulsa County (918) 298-2381
JENNIFER R. CAMERON, M.D., P.C.
Family Medicine
715 W MAIN ST, SUITE P
JENKS, OK 74037
Tulsa County (918) 296-7045
JENKS HEALTH TEAM, LLC
Family Medicine
715 W MAIN ST, SUITE S
JENKS, OK 74037
Tulsa County (918) 299-9447
EVETA SUE DINGES NP-C
Nurse Practitioner (Family)
715 W MAIN ST, SUITE S
JENKS, OK 74037
Tulsa County (918) 299-9447

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry C Bouman Do PC's NPI number?

The NPI number for Jerry C Bouman Do PC is 1053522193. It was assigned to this organization in the NPPES registry on May 24, 2007.

Where is Jerry C Bouman Do PC located?

Jerry C Bouman Do PC is located at 715 W Main St Suite H, Jenks, OK 74037. The listed phone number is (918) 296-0900.

What is Jerry C Bouman Do PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Jerry C Bouman Do PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.