COMANCHE COUNTY HEALTHCARE (NPI# 1548280746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548280746 |
| Entity Type | Organization |
| Organization Name | COMANCHE COUNTY HEALTHCARE |
| Other Organization Name | BEHAVORIAL HEALTH SERVICES |
| Practice Address |
3811 W Gore Blvd Suite 8 Lawton OK 73505-6328 |
| Mailing Address |
Po Box 785 Lawton OK 73502 |
| Practice Telephone | 5802506651 |
| Practice Fax Number | 5802506655 |
| Mailing Telephone | 5803579984 |
| Mailing Fax Number | 5803573277 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2013-09-24 |
| Authorized Official Name | DAVID BLACKMON (CFO) |
| Authorized Official Telephone | 5803558620 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
26033 | OK | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Behavorial Health Services | 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 |
3811 W GORE BLVD SUITE 8 |
| City | LAWTON |
| State | OK |
| Zip Code | 73505-6328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063407781 | Michael Ramos | Family Medicine | 3811 W Gore Blvd, Suite 1, Lawton, OK 73505 | 2005-09-19 |
| 1992183099 | Comanche County Hospital Authority | Clinic/Center | 3811 W Gore Blvd, Suite 6, Lawton, OK 73505-6310 | 2015-05-11 |
| 1871935247 | Audrey Nnenna Obinero | Nurse Practitioner | 3811 W Gore Blvd, Suite 6, Lawton, OK 73505-6310 | 2013-07-25 |
| 1811208945 | Hokehe Effiong | Pediatrics | 3811 W Gore Blvd, Lawton, OK 73505-6328 | 2010-06-23 |
| 1245565290 | Amanda L. Todd | Marriage & Family Therapist | 3811 W Gore Blvd, Suite 10, Lawton, OK 73505-6328 | 2009-10-08 |
| 1053544981 | Dana Kaye Hulbert | Nurse Practitioner | 3811 W Gore Blvd, Ste 6, Lawton, OK 73505-6328 | 2009-08-26 |
| 1326062837 | Comanche County Healthcare | Family Medicine | 3811 W Gore Blvd, Suite 2, Lawton, OK 73505-6328 | 2006-07-27 |
| 1053352690 | Comanche County Healthcare Corporation | Public Health or Welfare | 3811 W Gore Blvd, Suite 2, Lawton, OK 73505 | 2006-06-08 |
| 1134186737 | James Richard Marshall | Pediatrics | 3811 W Gore Blvd, Ste 6, Lawton, OK 73505-6328 | 2006-04-27 |
| 1356336911 | James Joseph Ireland | Psychiatry & Neurology | 3811 W Gore Blvd, Ste 10, Lawton, OK 73505-6328 | 2005-09-20 |
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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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396891172 | Masooda M Burki | Psychiatry & Neurology | 1602 Sw 82nd Street, Lawton, OK 73505 | 2007-01-26 |
| 1285729632 | Robert Andrew Cardona | Psychiatry & Neurology | 2208 Sw 53rd Street, Lawton, OK 73505 | 2006-10-03 |
| 1790895894 | William Spalding Davies | Psychiatry & Neurology | 1302 Lake Ave, Lawton, OK 73507 | 2006-08-30 |
| 1912910340 | Wiley G Davis | Psychiatry & Neurology | 5002 Sw Lee Boulevard, Lawton, OK 73505-8320 | 2006-08-15 |
| 1265442693 | Francis Peter Armendariz | Psychiatry & Neurology | 601 W Gore Ste 1, Lawton, OK 73501-3727 | 2006-08-08 |
| 1457653032 | Family Psychiatric Services | Psychiatry & Neurology | 910 Sw 38th St, Suite B, Lawton, OK 73505-7013 | 2010-12-02 |
| 1346431822 | Abel Marcos Jurkowicz | Psychiatry & Neurology | 1602 Sw 82nd St, Lawton, OK 73505-9012 | 2007-08-08 |
| 1134264591 | Sinisa Marko Trbovic | Psychiatry & Neurology | 1602 Sw 82nd St, Lawton, OK 73505-9012 | 2007-02-21 |
| 1457463036 | Zoobia Mirza | Psychiatry & Neurology | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2006-08-31 |
| 1770570913 | Phuong Le Tran | Psychiatry & Neurology | 4202 Sw Lee Blvd, Bldg A Suite 106, Lawton, OK 73505 | 2005-10-03 |
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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.