Melvin J Van Boven (NPI# 1003910522, PAC ID# 9931135407) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1003910522 |
| PAC ID by PECOS | 9931135407 |
| Professional Enrollment ID | I20080924000222 |
| Full Name | Melvin J Van Boven |
| Organization Legal Name | PATHOLOGY LABORATORY ASSOCIATES INC |
| Address |
4142 S Mingo Rd Regional Medical Laboratoy Central Tulsa OK 74146-3632 |
| Phone Number | 9187442553 |
| Gender | M |
| Medical School | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1969 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 3476539529 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370078 | OKLAHOMA STATE UNIVERSITY MEDICAL CENTER |
| 370039 | HILLCREST HOSPITAL CLAREMORE |
| 370166 | WAGONER COMMUNITY HOSPITAL |
| 370202 | HILLCREST HOSPITAL SOUTH |
| Address | Phone | Organization |
|---|---|---|
| 1202 N Muskogee Place, Hillcrest Hospital Claremore, Claremore, OK 74017-3058 | 9183412556 | SOUTHWEST PATHOLOGY ASSOCIATES LLC |
| 4142 S Mingo Rd, Regional Medical Laboratoy Central, Tulsa, OK 74146-3632 | 9187442553 | PATHOLOGY LABORATORY ASSOCIATES INC |
| 744 W 9th St, Tulsa, OK 74127-9020 | 9185872561 | SOUTHWEST PATHOLOGY ASSOCIATES LLC |
| 8801 So 101st E Ave, Hillcrest Hospital South, Tulsa, OK 74133-5716 | 9182944000 | SOUTHWEST PATHOLOGY ASSOCIATES LLC |
| Organization Legal Name | PATHOLOGY LABORATORY ASSOCIATES INC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul S Gillum | Dermatology | Pathology Laboratory Associates Inc | 4229 Royal Ave, Suite 100, Oklahoma City, OK 73108-2058 |
| Stephanie C Holt | Pathology | Pathology Laboratory Associates Inc | 4142 S Mingo Rd, Regional Medical Laboratoy Central, Tulsa, OK 74146-3632 |
| Ryan L Hendren | Pathology | Pathology Laboratory Associates Inc | 4142 S Mingo Rd, Regional Medical Laboratoy Central, Tulsa, OK 74146-3632 |
| Brent D Hartsell | Pathology | Pathology Laboratory Associates Inc | 1923 S Utica Ave, Tulsa, OK 74104-6520 |
| Erica Syklawer Kumar | Pathology | Pathology Laboratory Associates Inc | 4142 S Mingo Rd, Regional Medical Laboratoy Central, Tulsa, OK 74146-3632 |
| Todd A Wullschleger | Pathology | Pathology Laboratory Associates Inc | 4142 S Mingo Rd, Regional Medical Laboratoy Central, Tulsa, OK 74146-3632 |
| Kanwaljit S Aulakh | Pathology | Pathology Laboratory Associates Inc | 4142 S Mingo Rd, Regional Medical Laboratoy Central, Tulsa, OK 74146-3632 |
| Steven J Casner | Pathology | Pathology Laboratory Associates Inc | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 |
| Cindi R Starkey | Pathology | Pathology Laboratory Associates Inc | 4142 S Mingo Rd, Regional Medical Laboratoy Central, Tulsa, OK 74146-3632 |
| Arthur Neil Crowson | Pathology | Pathology Laboratory Associates Inc | 4142 S Mingo Rd, Regional Medical Laboratoy Central, Tulsa, OK 74146-3632 |
| Street Address |
4142 S MINGO RD REGIONAL MEDICAL LABORATOY CENTRAL |
| City | TULSA |
| State | OK |
| Zip | 74146-3632 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie C Holt | Pathology | Pathology Laboratory Associates Inc | 4142 S Mingo Rd, Regional Medical Laboratoy Central, Tulsa, OK 74146-3632 |
| Ryan L Hendren | Pathology | Pathology Laboratory Associates Inc | 4142 S Mingo Rd, Regional Medical Laboratoy Central, Tulsa, OK 74146-3632 |
| Erica Syklawer Kumar | Pathology | Pathology Laboratory Associates Inc | 4142 S Mingo Rd, Regional Medical Laboratoy Central, Tulsa, OK 74146-3632 |
| Todd A Wullschleger | Pathology | Pathology Laboratory Associates Inc | 4142 S Mingo Rd, Regional Medical Laboratoy Central, Tulsa, OK 74146-3632 |
| Kanwaljit S Aulakh | Pathology | Pathology Laboratory Associates Inc | 4142 S Mingo Rd, Regional Medical Laboratoy Central, Tulsa, OK 74146-3632 |
| Cindi R Starkey | Pathology | Pathology Laboratory Associates Inc | 4142 S Mingo Rd, Regional Medical Laboratoy Central, Tulsa, OK 74146-3632 |
| Arthur Neil Crowson | Pathology | Pathology Laboratory Associates Inc | 4142 S Mingo Rd, Regional Medical Laboratoy Central, Tulsa, OK 74146-3632 |
| Henry D Haskell | Pathology | Pathology Laboratory Associates Inc | 4142 S Mingo Rd, Regional Medical Laboratoy Central, Tulsa, OK 74146-3632 |
| Adam J Hoffhines | Pathology | Pathology Laboratory Associates Inc | 4142 S Mingo Rd, Regional Medical Laboratoy Central, Tulsa, OK 74146-3632 |
| James O Palmer | Pathology | Pathology Laboratory Associates Inc | 4142 S Mingo Rd, Regional Medical Laboratoy Central, Tulsa, OK 74146-3632 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daryle J Riner | Optometry | 9720 E 31st St, A1, Tulsa, OK 74146-1259 | |
| Kerri Vandiver | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 11515 E 31st St, Tulsa, OK 74146-1908 |
| Jennifer J Magness | Nurse Practitioner | Advanced Pain Management Center of Oklahoma LLC | 3840 S 103rd E Ave, Suite 100, Tulsa, OK 74146-2445 |
| Hugo S Salguero | Interventional Pain Management | Advanced Pain Management Center of Oklahoma LLC | 3840 S 103rd E Ave, Suite 100, Tulsa, OK 74146-2445 |
| Sherri L Richardson | Nurse Practitioner | Advanced Pain Management Center of Oklahoma LLC | 3840 S 103rd E Ave, Suite 100, Tulsa, OK 74146-2445 |
| Steven T Mccormack | Diagnostic Radiology | Precision Pain Management LLC | 4110 S 100th E Ave, Suite 201, Tulsa, OK 74146-3629 |
| Patsy Janette Wiseman | Nurse Practitioner | Precision Pain Management LLC | 4110 S 100th E Ave, Suite 201, Tulsa, OK 74146-3629 |
| Walter L Lamar | Pathology | Pathology Laboratory Associates Inc | 4142 S Mingo Rd, Regional Medical Laboratoy Central, Tulsa, OK 74146-3632 |
| Sean L Smith | Pathology | Pathology Laboratory Associates Inc | 4142 S Mingo Rd, Regional Medical Laboratoy Central, Tulsa, OK 74146-3632 |
| James Richard Taylor | Pathology | Pathology Laboratory Associates Inc | 4142 S Mingo Rd, Regional Medical Laboratoy Central, Tulsa, OK 74146-3632 |
| Find all physicians in zip 74146 | |||
| City | TULSA |
| Zip Code | 74146 |
| Specialty | PATHOLOGY |
| City + Specialty | TULSA + PATHOLOGY |
Please comment or provide details below to improve the information on Melvin J Van Boven.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.