COMANCHE COUNTY HEALTHCARE CORPORATION (NPI# 1164800348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164800348 |
| Entity Type | Organization |
| Organization Name | COMANCHE COUNTY HEALTHCARE CORPORATION |
| Other Organization Name | MARTY K SANNER MD |
| Practice Address |
4202 Sw Lee Blvd Bldg A Ste 104 Lawton OK 73505-8300 |
| Mailing Address |
Po Box 785 Lawton OK 73502-0785 |
| Practice Telephone | 5803579984 |
| Practice Fax Number | 5803573277 |
| Mailing Telephone | 5803579984 |
| Mailing Fax Number | 5803573277 |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2016-02-03 |
| Authorized Official Name | BRENT SMITH (CFO) |
| Authorized Official Telephone | 5803558620 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 18448 | OK | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Marty K Sanner MD | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629604376 | Comanche County Healthcare Corporation | Family Medicine | 3201 W Gore Blvd Ste G1, Lawton, OK 73505-6308 | 2020-03-13 |
| 1326558180 | Comanche County Healthcare Corporation | Psychiatry & Neurology | 3201 W Gore Blvd Ste 300, Lawton, OK 73505-6350 | 2017-10-06 |
| 1306863287 | Comanche County Healthcare Corporation | Obstetrics & Gynecology | 102 Nw 31st St, Lawton, OK 73505 | 2006-07-16 |
| 1255871497 | Comanche County Healthcare Corporation | Internal Medicine | 3106 Nw Arlington Ave, Lawton, OK 73505-6123 | 2017-03-07 |
| 1114466455 | Comanche County Healthcare Corporation | Family Medicine | 3201 W Gore Blvd, Suite 203, Lawton, OK 73505-6378 | 2017-02-20 |
| 1609315308 | Comanche County Healthcare Corporation | Otolaryngology | 3201 W Gore Blvd, Suite 103, Lawton, OK 73505-6378 | 2017-02-15 |
| 1134586563 | Comanche County Healthcare Corporation | Internal Medicine | 6401 Sw Lee Blvd, Lawton, OK 73505-9678 | 2016-01-15 |
| 1548648579 | Comanche County Healthcare Corporation | Podiatrist | 110 Nw 31st St, 2nd Floor, Lawton, OK 73505-6100 | 2015-05-11 |
| 1891195590 | Comanche County Healthcare Corporation | Nurse Practitioner | 4411 W Gore Blvd, Suite A2, Lawton, OK 73505-6016 | 2014-08-29 |
| 1982025250 | Comanche County Healthcare Corporation | Family Medicine | 901 Sw Goodyear Blvd, Lawton, OK 73505-9755 | 2014-01-03 |
| Street Address |
4202 SW LEE BLVD BLDG A STE 104 |
| City | LAWTON |
| State | OK |
| Zip Code | 73505-8300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013909605 | Brian Gillam Birdwell | Internal Medicine | 4202 Sw Lee Blvd, Lawton, OK 73505-8300 | 2005-08-18 |
| 1700490570 | Kristen Renee Molloy | Student in an Organized Health Care Education/Training Program | 4202 Sw Lee Blvd, Lawton, OK 73505-8300 | 2020-08-31 |
| 1659992634 | Oklahoma Mental Health Council | Community/Behavioral Health | 4202 Sw Lee Blvd, Lawton, OK 73505-8300 | 2020-05-01 |
| 1548741358 | Kimberly Nicole Clark | Counselor | 4202 Sw Lee Blvd, Lawton, OK 73505-8300 | 2018-08-29 |
| 1609133669 | Albert Arredondo Anesthesia Pllc | Specialist | 4202 Sw Lee Blvd, Bldg B Suite A, Lawton, OK 73505-8300 | 2012-04-16 |
| 1104053776 | Laura White | Pediatrics | 4202 Sw Lee Blvd, Building B, Suite 100, Lawton, OK 73505-8343 | 2009-06-22 |
| 1841475035 | Rosemary Bellino Md Inc | Internal Medicine | 4202 Sw Lee Blvd, Bldg A Suite 100, Lawton, OK 73505 | 2008-01-07 |
| 1679758866 | Marty K Sanner Md PC | Internal Medicine | 4202 Sw Lee Blvd, Bldg A Suite 104, Lawton, OK 73505 | 2008-01-07 |
| 1265614812 | James Sylvester Casebeer | Pharmacist | 4202 Sw Lee Blvd, Bldg B, Lawton, OK 73505-8300 | 2007-12-05 |
| 1114139334 | Debra Anne Crawford | Obstetrics & Gynecology | 4202 Sw Lee Blvd, Bldg B, Suite A, Lawton, OK 73505-8300 | 2007-05-03 |
| Find all providers in the same location | ||||
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1508021601 | Jennifer Lynn Beals | Internal Medicine | 3201 W Gore Blvd Ste 203, Lawton, OK 73505-6350 | 2008-07-28 |
| 1558528323 | Thomas J Leckman | Internal Medicine | 505 Nw Sheridan Rd, Suite C, Lawton, OK 73505-6522 | 2008-05-20 |
| 1053519587 | Steve Egwuonwu | Internal Medicine | 5604 Sw Lee Blvd Ste 245, Lawton, OK 73505-9663 | 2007-07-05 |
| 1336342260 | David Wayne Hays | Internal Medicine | 3110 Nw Denver Ave, Lawton, OK 73505-3864 | 2007-06-07 |
| 1912110578 | Daniel Glenn Constance | Internal Medicine | 5606 Sw Lee Boulevard, Suite 203, Lawton, OK 73505 | 2007-05-08 |
| 1760552277 | Maristela Cibes-silva | Internal Medicine | 5112 W Gore Blvd Ste 1, Lawton, OK 73505-6003 | 2006-11-09 |
| 1528079985 | Kurt R. Scroggins | Internal Medicine | 901 Sw Goodyear Blvd, Lawton, OK 73505-9755 | 2006-08-11 |
| 1508803156 | Jimmy Michael Kerley | Internal Medicine | 104 Nw 31st, Lawton, OK 73505 | 2006-06-01 |
| 1174593727 | Karen A Clark | Internal Medicine | 5050 Sw Lee Blvd Ste 2, Lawton, OK 73505 | 2006-01-25 |
| 1255322111 | Robert Milton Love | Internal Medicine | 6401 Sw Lee Blvd, Lawton, OK 73505-9678 | 2005-10-31 |
| Find all providers in LAWTON | ||||
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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.