Provider Demographics
NPI:1205871282
Name:OYLER, EDWARD D (CRNA)
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:D
Last Name:OYLER
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1716 ROAD 3
Mailing Address - Street 2:
Mailing Address - City:LIBERAL
Mailing Address - State:KS
Mailing Address - Zip Code:67901-5373
Mailing Address - Country:US
Mailing Address - Phone:620-624-7744
Mailing Address - Fax:
Practice Address - Street 1:15TH AT PERSHING
Practice Address - Street 2:
Practice Address - City:LIBERAL
Practice Address - State:KS
Practice Address - Zip Code:67901-2455
Practice Address - Country:US
Practice Address - Phone:620-624-1651
Practice Address - Fax:620-629-6655
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-16
Last Update Date:2013-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS55495207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200372500AMedicaid
KS145271OtherBLUE CROSS
KS200372500AMedicaid