COMANCHE COUNTY HEALTHCARE (NPI# 1265456727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265456727 |
| Entity Type | Organization |
| Organization Name | COMANCHE COUNTY HEALTHCARE |
| Other Organization Name | MMG ORTHOPEDIC SURGERY |
| Practice Address |
110 Nw 31st 2nd Floor Lawton OK 73505 |
| Mailing Address |
Po Box 785 Lawton OK 73502 |
| Practice Telephone | 5803573671 |
| Practice Fax Number | 5803571256 |
| Mailing Telephone | 5803579984 |
| Mailing Fax Number | 5803573277 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2015-05-08 |
| Authorized Official Name | MR. BRENT SMITH (CFO) |
| Authorized Official Telephone | 5803558620 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 10777 | OK | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MMG Orthopedic Surgery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235159229 | Comanche County Healthcare | Family Medicine | Hwy 81 and 70, Waurika, OK 73573 | 2006-07-20 |
| 1427075324 | Comanche County Healthcare | Family Medicine | 319 E Josephine, Frederick, OK 73542 | 2006-07-16 |
| 1285651232 | Comanche County Healthcare | Surgery | 2716 W Gore Blvd, Suite C, Lawton, OK 73505 | 2006-07-16 |
| 1457377822 | Comanche County Healthcare | Family Medicine | 3000 N Main St, Suite A, Altus, OK 73521 | 2006-07-15 |
| 1326095001 | Comanche County Healthcare | Radiology | 3401 W Gore, Lawton, OK 73505 | 2006-05-28 |
| 1053530568 | Comanche County Healthcare | Internal Medicine | 3201 W Gore Blvd, Suite 105, Lawton, OK 73505 | 2007-04-24 |
| 1366592875 | Comanche County Healthcare | Radiology | 3201 W Gore Blvd, Lawton, OK 73505 | 2007-01-10 |
| 1609954247 | Comanche County Healthcare | Orthopaedic Surgery | 110 Nw 31st, 2nd Floor, Lawton, OK 73505 | 2006-11-01 |
| 1326062837 | Comanche County Healthcare | Family Medicine | 3811 W Gore Blvd, Suite 2, Lawton, OK 73505-6328 | 2006-07-27 |
| 1174547632 | Comanche County Healthcare | Family Medicine | 3201 W Gore Blvd, Suite 105, Lawton, OK 73505-6378 | 2006-07-27 |
| Street Address |
110 NW 31ST 2ND FLOOR |
| City | LAWTON |
| State | OK |
| Zip Code | 73505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205821279 | Timeri M Murari | Orthopaedic Surgery | 110 Nw 31st, 2nd Floor, Lawton, OK 73505 | 2005-09-15 |
| 1538209036 | Daniel L Morgan | Surgery | 110 Nw 31st, 3rd Floor, Lawton, OK 73505 | 2007-02-07 |
| 1609954247 | Comanche County Healthcare | Orthopaedic Surgery | 110 Nw 31st, 2nd Floor, Lawton, OK 73505 | 2006-11-01 |
| 1760491138 | James J Trusell | Orthopaedic Surgery | 110 Nw 31st, 2nd Floor, Lawton, OK 73505 | 2006-08-05 |
| 1811983315 | Eric E Frische | Orthopaedic Surgery | 110 Nw 31st, 2nd Floor, Lawton, OK 73505 | 2005-09-21 |
| 1528053246 | Robert L Kern | Obstetrics & Gynecology | 110 Nw 31st, Lawton, OK 73505 | 2005-09-19 |
| 1649265380 | Donald M Baldwin | Orthopaedic Surgery | 110 Nw 31st, 2nd Floor, Lawton, OK 73505 | 2005-09-19 |
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477578185 | Wayne Anthony Johnson | Orthopaedic Surgery | 904 Sw 38th St, Lawton, OK 73505-7021 | 2006-07-13 |
| 1306882980 | Clint Forrest Kirk | Orthopaedic Surgery | 110 Nw 31st 2nd Floor, Lawton, OK 73505 | 2006-06-21 |
| 1508839812 | Scot Alan Cordray | Orthopaedic Surgery | 110 Nw 3st, 2nd Floor, Lawton, OK 73505-6100 | 2006-02-08 |
| 1043282957 | Sloane Roxanne Blair | Orthopaedic Surgery | 110 Nw 31st Street, 2nd Floor, Lawton, OK 73502-0785 | 2006-02-03 |
| 1205821279 | Timeri M Murari | Orthopaedic Surgery | 110 Nw 31st, 2nd Floor, Lawton, OK 73505 | 2005-09-15 |
| 1700365558 | Cameron University | Orthopaedic Surgery | 2800 W Gore Blvd, Lawton, OK 73505-6320 | 2018-08-13 |
| 1194037713 | Kody King | Orthopaedic Surgery | 110 Nw 31st St Fl 2, Lawton, OK 73505-6100 | 2010-07-12 |
| 1013169531 | Southwestern Surgical Affiliates, LLC | Orthopaedic Surgery | 5602 Sw Lee Blvd, Lawton, OK 73505-9635 | 2008-10-15 |
| 1417091273 | Wayne A Johnson Md PC | Orthopaedic Surgery | 904 Sw 38th St, Lawton, OK 73505-7021 | 2007-02-16 |
| 1609954247 | Comanche County Healthcare | Orthopaedic Surgery | 110 Nw 31st, 2nd Floor, Lawton, OK 73505 | 2006-11-01 |
| 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.