WACHITA KIDNEY AND HYPERTENSION SPECIALISTS PLLC (NPI# 1023239431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023239431 |
Entity Type | Organization |
Organization Name | WACHITA KIDNEY AND HYPERTENSION SPECIALISTS PLLC |
Practice Address |
4417 W Gore Blvd Ste 3 Lawton OK 73505-5978 |
Mailing Address |
Po Box 7227 Lawton OK 73506-1227 |
Practice Telephone | 5803571002 |
Enumeration Date | 2007-05-01 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. RAPHAEL LOUTOBY (CEO) |
Authorized Official Telephone | 5803571002 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
25397 | OK | Allopathic & Osteopathic Physicians |
Street Address |
4417 W GORE BLVD STE 3 |
City | LAWTON |
State | OK |
Zip Code | 73505-5978 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528325867 | Ariah Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4417 W Gore Blvd Ste 3, Lawton, OK 73505-5978 | 2012-04-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
Find all providers in zip 73505 |
Taxonomy Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245568609 | Southwestern Pulmonary and Critical Care Pllc | Internal Medicine | 5606 Sw Lee Blvd, Suite 304, Lawton, OK 73505-9688 | 2009-11-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124598149 | Pulmonary Care Innovations Pllc | Internal Medicine | 2832 E 101st St, Tulsa, OK 74137-5601 | 2018-12-03 |
1184145393 | A&r Management Services, Inc. | Internal Medicine | 2621 E 38th St, Tulsa, OK 74105-8206 | 2017-06-28 |
1417319096 | Abed Madanieh | Internal Medicine | 800 Stanton L Young Blvd # 8400, Oklahoma City, OK 73104-5018 | 2016-03-23 |
1689966103 | Anthony Xavier Troitino | Internal Medicine | 3366 Nw Expressway Ste 650, Oklahoma City, OK 73112-4490 | 2011-05-03 |
1164654117 | Viral K Doshi | Internal Medicine | 13313 N Meridian Ave Ste D, Oklahoma City, OK 73120-8316 | 2009-08-10 |
1538393384 | Richard Waldo Nicholson | Internal Medicine | Rr 1 Box 1799, Checotah, OK 74426-9794 | 2009-05-07 |
1164688255 | Sleep Practice Management LLC | Internal Medicine | 305 N Bryant Ave, Edmond, OK 73034-6276 | 2008-07-29 |
1821219098 | Robert Keith Wilson | Internal Medicine | 2753 S. Utica Ave, Tulsa, OK 74114 | 2007-05-02 |
1518007632 | Saif Ullah Farooq | Internal Medicine | 4221 S Western Ave Ste 4005, Oklahoma City, OK 73109-3436 | 2007-02-07 |
1427136381 | Pulmonary & Sleep Medicine Assoc PC | Internal Medicine | 2801 Parklawn Dr Ste 301, Midwest City, OK 73110-4230 | 2006-11-01 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.