WACHITA KIDNEY AND HYPERTENSION SPECIALISTS PLLC


Address: 4417 W Gore Blvd Ste 3, Lawton, OK 73505-5978
Phone: 5803571002

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
25397 OK Allopathic & Osteopathic Physicians

Office Location

Street Address 4417 W GORE BLVD STE 3
City LAWTON
State OK
Zip Code 73505-5978

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City LAWTON
Zip Code 73505

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Dataset Information

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.

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