SOUTHWEST IMAGING CENTER INC (NPI# 1285637017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285637017 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST IMAGING CENTER INC |
| Other Organization Name | THE IMAGING CENTER |
| Practice Address |
5116 W Gore Blvd Ste 1 Lawton OK 73505-5909 |
| Practice Telephone | 5803537226 |
| Practice Fax Number | 5803537297 |
| Mailing Telephone | 5803537226 |
| Mailing Fax Number | 5803537297 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2008-08-20 |
| Authorized Official Name | MRS. KIMBERLY LYNN KETCHER (BILLING OFFICE MANAGAER) |
| Authorized Official Telephone | 5803537226 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
700560 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100744930A | 05 |
| Other Name | Type Code |
|---|---|
| THE IMAGING CENTER | Former Legal Business Name - Organization |
| Street Address |
5116 W GORE BLVD STE 1 |
| City | LAWTON |
| State | OK |
| Zip Code | 73505-5909 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205084258 | Raindancer LLC Dba Doctors Mri | Radiology | 5366 Nw Cache Rd Ste 4, Lawton, OK 73505-3335 | 2008-09-03 |
| 1689616948 | Sooner Radiology Inc | Radiology | 5112 W Gore Blvd, Suite 3, Lawton, OK 73505-6034 | 2006-06-12 |
| 1326095001 | Comanche County Healthcare | Radiology | 3401 W Gore, Lawton, OK 73505 | 2006-05-28 |
| 1215900857 | Carl Leroy Dobson | Radiology | 3401 W. Gore Blvd., Lawton, OK 73505-6332 | 2006-02-13 |
| 1588664288 | Howard Dale Harper | Radiology | 5112 W. Gore Blvd, Suite 3, Lawton, OK 73505-2843 | 2005-07-26 |
| 1881909604 | Southwestern Radiology Affiliates, LLC | Radiology | 5602 Sw Lee Blvd, Lawton, OK 73505-9635 | 2010-08-17 |
| 1194996447 | Comanche County Hospital Authority Southwest Radiology | Radiology | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2008-03-14 |
| 1649233818 | Kelly E Jones | Radiology | 3401 W Gore Blvd, Lawton, OK 73505 | 2006-04-10 |
| 1669443412 | Frank R Hayden | Radiology | 3401 W Gore Blvd, Lawton, OK 73505 | 2006-01-30 |
| 1164418463 | Kevin K Murray | Radiology | 3401 W Gore Blvd, Lawton, OK 73505 | 2005-09-22 |
| 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.