COMANCHE COUNTY HEALTHCARE (NPI# 1316963705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316963705 |
| Entity Type | Organization |
| Organization Name | COMANCHE COUNTY HEALTHCARE |
| Other Organization Name | MEMORIAL MEDICAL GROUP CARDIOVASCULAR AND THORACIC SURGERY |
| Practice Address |
3401 W Gore Blvd Lawton OK 73505 |
| Mailing Address |
Po Box 785 Lawton OK 73502 |
| Practice Telephone | 5803574339 |
| Practice Fax Number | 5803574423 |
| Mailing Telephone | 5803579984 |
| Mailing Fax Number | 5803573277 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2015-05-08 |
| 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 | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
16465 | OK | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MEMORIAL MEDICAL GROUP CARDIOVASCULAR AND THORACIC 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 |
| 1265456727 | Comanche County Healthcare | Orthopaedic Surgery | 110 Nw 31st, 2nd Floor, Lawton, OK 73505 | 2006-07-27 |
| Street Address |
3401 W GORE BLVD |
| City | LAWTON |
| State | OK |
| Zip Code | 73505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295735777 | Kathleen Marie Feeley | Nurse Anesthetist, Certified Registered | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2005-07-27 |
| 1437768280 | Jordan Nixon | Speech-Language Pathologist | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-07-28 |
| 1275151953 | Tiffany Fletcher Legako | Speech-Language Pathologist | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-07-09 |
| 1669094371 | Jacob Aaron Fuller | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-05-15 |
| 1679195614 | Kennan Dale Richards | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-05-13 |
| 1730701251 | Shelby Madolyn Willis | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-05-07 |
| 1902427404 | Christopher Raul Fernandez | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-05-06 |
| 1790305456 | Ethan Jernigan | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-04-23 |
| 1144840802 | Lyndi Fisher | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-04-23 |
| 1629607320 | Jordan Renee Price | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-04-04 |
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| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1730133323 | Ronald G Woodson | Internal Medicine | 3106 Nw Arlington, Lawton, OK 73505 | 2006-05-19 |
| 1255871497 | Comanche County Healthcare Corporation | Internal Medicine | 3106 Nw Arlington Ave, Lawton, OK 73505-6123 | 2017-03-07 |
| 1346795390 | Comanche County Hospital Authority | Internal Medicine | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2016-08-19 |
| 1003155821 | Comanche County Hospital Authority | Internal Medicine | 3106 Nw Arlington Ave, Lawton, OK 73505-6123 | 2013-02-14 |
| 1932477965 | Heart and Vascular Center Pllc | Internal Medicine | 3106 Nw Arlington Ave, Lawton, OK 73505-6123 | 2011-12-05 |
| 1710174867 | Srilatha R Ayirala | Internal Medicine | 3106 Nw Arlington Ave, Lawton, OK 73505-6123 | 2007-10-02 |
| 1861412223 | Bassam C. Saliba | Internal Medicine | 3106 Nw Arlington Ave, Lawton, OK 73505-6123 | 2006-07-20 |
| 1730115114 | Heart & Vascular Center Pllc | Internal Medicine | 3106 Nw Arlington Ave, Lawton, OK 73505-6123 | 2006-06-25 |
| 1679527030 | Robert F Sweeney | Internal Medicine | 3106 Nw Arlington Ave, Lawton, OK 73505 | 2006-05-20 |
| 1518915750 | Vijaya S Velury | Internal Medicine | 3106 Nw Arlington Ave, Lawton, OK 73505-6123 | 2006-05-04 |
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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.