SURGERY CENTER OF LAWTON PROFESSIONAL LLC (NPI# 1164478764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164478764 |
| Entity Type | Organization |
| Organization Name | SURGERY CENTER OF LAWTON PROFESSIONAL LLC |
| Practice Address |
3617 W Gore Blvd Suite D Lawton OK 73505-6373 |
| Practice Telephone | 5803510500 |
| Practice Fax Number | 5803510500 |
| Mailing Telephone | 5803510500 |
| Mailing Fax Number | 5803510500 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2012-03-27 |
| Authorized Official Name | RITA WILLIAMS (ADMINISTRATOR) |
| Authorized Official Telephone | 5803510500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
0030 | OK | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100745750 A | 05 |
| Street Address |
3617 W GORE BLVD SUITE D |
| City | LAWTON |
| State | OK |
| Zip Code | 73505-6373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366672552 | Lawton Surgical and Cosmetic Arts | Dentist | 3617 W Gore Blvd, Suite B, Lawton, OK 73505-6373 | 2009-07-22 |
| 1912071739 | Cloyce Wayne Littlefield Jr. | Dentist | 3617 W Gore Blvd, Suite B, Lawton, OK 73505 | 2006-11-20 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477551745 | Gp Surgery Center, LLC | Clinic/Center | 5404 Southwest Lee Boulevard, Suite 100, Lawton, OK 73505-9521 | 2005-07-12 |
| 1447543285 | Lawton Surgery Investment Company LLC | Clinic/Center | 5404 Sw Lee Blvd, Lawton, OK 73505-9695 | 2011-05-26 |
| 1407023187 | Lawton Indian Hospital | Clinic/Center | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | 2008-05-13 |
| 1588777130 | J J Young Md | Clinic/Center | 4214 Sw Lee Blvd, Lawton, OK 73505-8340 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508404922 | Ortho Central | Clinic/Center | 3400 W Tecumseh Rd Ste 301, Norman, OK 73072-1812 | 2019-12-16 |
| 1972156842 | Norman Regional Hospital Authority | Clinic/Center | 1125 N Porter Ave Ste 304, Norman, OK 73071-6443 | 2019-07-19 |
| 1508419474 | Norman Regional Hospital Authority | Clinic/Center | 3101 W Tecumseh Rd Ste 100, Norman, OK 73072-1816 | 2019-07-19 |
| 1023586252 | Mercy Hospital Oklahoma City Outpatient Surgery LLC | Clinic/Center | 3301 Nw 50th St Ste 200, Oklahoma City, OK 73112-5627 | 2018-11-06 |
| 1225497019 | Langley Holdings, LLC | Clinic/Center | 9840 E 81st St, Suite 200, Tulsa, OK 74133-4582 | 2016-02-22 |
| 1306214705 | Gsi Asc, LLC | Clinic/Center | 10210 E. 91st Street South, Tulsa, OK 74133 | 2015-09-02 |
| 1770968810 | Premier Anesthesia Management Inc | Clinic/Center | 19236 E Twin Creeks Dr, Owasso, OK 74055 | 2015-07-29 |
| 1033543863 | Weir Asc LLC | Clinic/Center | 9840 East 81 St, Suite 200, Tulsa, OK 74133 | 2013-08-28 |
| 1346510476 | Tulsa Ambulatory Procedure Center LLC | Clinic/Center | 2811 E 15th St Ste 101, Tulsa, OK 74104-5242 | 2012-01-05 |
| 1326335811 | Laser Spine Surgery Center of Oklahoma, LLC | Clinic/Center | 4727 Gaillardia Parkway, Suite 150, Oklahoma City, OK 73142 | 2011-07-05 |
| Find all providers with the same taxonomy | ||||
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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.