Basic Information
| Provider Information | |||||||||
| NPI: | 1528078060 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BOYKO | ||||||||
| FirstName: | ANDREW | ||||||||
| MiddleName: | T. | ||||||||
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| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 3014 | ||||||||
| Address2: | 1215 DUFF AVE MCFARLAND CLINIC PC | ||||||||
| City: | AMES | ||||||||
| State: | IA | ||||||||
| PostalCode: | 500103014 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5152392411 | ||||||||
| FaxNumber: | 5159562714 | ||||||||
| Practice Location | |||||||||
| Address1: | 1111 DUFF AVE | ||||||||
| Address2: | MCFARLAND CLINIC PC | ||||||||
| City: | AMES | ||||||||
| State: | IA | ||||||||
| PostalCode: | 500103014 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5152392155 | ||||||||
| FaxNumber: | 5152392050 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/08/2006 | ||||||||
| LastUpdateDate: | 12/22/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/22/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 37638 | IA | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | 10320 | MT | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
ID Information
| ID | Type | State | Issuer | Description | 3502642 | 05 | MT | MEDICAID | 71658 | 01 | IA | BCBS | OTHER | 000095185 | 01 | BCBS MT | OTHER | P00021950 | 01 | MEDICARE RAILROAD | OTHER | 1528078060 | 05 | IA | MEDICAID |