COMANCHE COUNTY HEALTHCARE (NPI# 1326095001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326095001 |
| Entity Type | Organization |
| Organization Name | COMANCHE COUNTY HEALTHCARE |
| Other Organization Name | SOUTHWEST RADIOLOGY GROUP |
| Practice Address |
3401 W Gore Lawton OK 73505 |
| Mailing Address |
Po Box 785 Lawton OK 73502 |
| Practice Telephone | 5803579984 |
| Practice Fax Number | 5803573277 |
| Mailing Telephone | 5803579984 |
| Mailing Fax Number | 5803573277 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2008-03-05 |
| Authorized Official Name | DAVID BLACKMON (CFO) |
| Authorized Official Telephone | 5803579984 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SOUTHWEST RADIOLOGY Group | 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 |
| 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 |
| 1174547632 | Comanche County Healthcare | Family Medicine | 3201 W Gore Blvd, Suite 105, Lawton, OK 73505-6378 | 2006-07-27 |
| Street Address |
3401 W GORE |
| City | LAWTON |
| State | OK |
| Zip Code | 73505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265460646 | Robert C Balogh | Internal Medicine | 3401 W Gore, Lawton, OK 73505 | 2006-06-28 |
| 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 |
| 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 |
| 1285637017 | Southwest Imaging Center Inc | Radiology | 5116 W Gore Blvd, Ste 1, Lawton, OK 73505-5909 | 2005-05-24 |
| 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.