Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Walter Mark Boomer, MD

Individual provider Pulmonary Disease Physician · NPI 1578598074

Walter Mark Boomer, MD is a Pulmonary Disease in Oklahoma City, Oklahoma. Graduated from University of Oklahoma College of Medicine in 1989, 37 years ago. Practices with Creek Nation Hospital and Clinics, a 390-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
37
Trained at
University of Oklahoma College of Medicine
Licensed in
OK
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

13313 N Meridian Ave Ste D
Oklahoma City, OK 73120-8316
Phone: (405) 755-4290
Fax: (405) 755-7773
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 17300 (OK)

Record details

NPI number1578598074
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 12, 2006
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026
Mailing addressPo Box 776084, Chicago, IL 60677-6084

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPULMONARY DISEASE
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 1989 (37 years in practice)
Group practice Creek Nation Hospital And Clinics — 390 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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