Dr. Bo Tyler Headlam
M.D. | Pain Management
1735 27th St, Waller Building, Suite 302, Portsmouth
Ohio, 45662-2677
740-356-6808 740-356-6826
Maps & Directions is a Portsmouth, Ohio based physiatrist who is specialized in
Pain Management (PM&R). Active license number of Dr. Bo Tyler Headlam is
286498 in New York.
Dr. Bo Tyler Headlam provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Complete Profile:
Dr. Bo Tyler Headlam speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Pain Management (PM&R) |
| Credentials: | M.D. |
| Gender: | Male |
| Practice Address: | 1735 27th St, Waller Building, Suite 302, Portsmouth,
Ohio, 45662-2677 |
| Phone: | 740-356-6808 |
| Fax: | 740-356-6826 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1619939246 |
| NPI Enumeration Date: | 06 Apr, 2006 |
| NPI Last Update On: | 19 Feb, 2025 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Bo Tyler Headlam are as mentioned below.
| License Number | Specialization | State | Status | |
| 286498 | | New York | Primary | |
| 25588 | Pain Management (PM&R) | Nebraska | Secondary | |
| 036115263 | Pain Management (PM&R) | Illinois | Secondary | |
| 25588 | Pain Medicine | Nebraska | Secondary | |
| 25588 | Pain Medicine | Nebraska | Secondary | |
| 036115263 | Pain Medicine | Illinois | Secondary | |
| 35120229 | Pain Management (PM&R) | Ohio | Secondary | |
| 35120229 | Pain Medicine | Ohio | Secondary | |
| 35120229 | Pain Medicine | Ohio | Secondary | |
| 286498 | Pain Management (PM&R) | New York | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Bo Tyler Headlam such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 4632039 | Other | Illinois | BCBS GROUP |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 68 S Service Rd, Suite 100
Melville, New York |
| Zip: | 11747-2354 |
| Phone Number: | 631-465-2094 |
| Fax Number: | -- |
Patients can reach Dr. Bo Tyler Headlam at
1735 27th St, Waller Building, Suite 302, Portsmouth, Ohio or can
call to book an appointment on 740-356-6808.
Comments/ Reviews:
Patients can read all the reviews posted for Dr. Bo Tyler Headlam below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Dr. Bo Tyler Headlam. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.