COMANCHE COUNTY HEALTHCARE CORPORATION (NPI# 1548648579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548648579 |
| Entity Type | Organization |
| Organization Name | COMANCHE COUNTY HEALTHCARE CORPORATION |
| Other Organization Name | MMG PODIATRY |
| Practice Address |
110 Nw 31st St 2nd Floor Lawton OK 73505-6100 |
| Mailing Address |
Po Box 785 Lawton OK 73502-0785 |
| Practice Telephone | 5803573671 |
| Practice Fax Number | 5803571256 |
| Mailing Telephone | 5803579984 |
| Mailing Fax Number | 5803573277 |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-05-11 |
| 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 | 213E00000X | Podiatrist | 299 | OK | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| MMG Podiatry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629604376 | Comanche County Healthcare Corporation | Family Medicine | 3201 W Gore Blvd Ste G1, Lawton, OK 73505-6308 | 2020-03-13 |
| 1326558180 | Comanche County Healthcare Corporation | Psychiatry & Neurology | 3201 W Gore Blvd Ste 300, Lawton, OK 73505-6350 | 2017-10-06 |
| 1306863287 | Comanche County Healthcare Corporation | Obstetrics & Gynecology | 102 Nw 31st St, Lawton, OK 73505 | 2006-07-16 |
| 1255871497 | Comanche County Healthcare Corporation | Internal Medicine | 3106 Nw Arlington Ave, Lawton, OK 73505-6123 | 2017-03-07 |
| 1114466455 | Comanche County Healthcare Corporation | Family Medicine | 3201 W Gore Blvd, Suite 203, Lawton, OK 73505-6378 | 2017-02-20 |
| 1609315308 | Comanche County Healthcare Corporation | Otolaryngology | 3201 W Gore Blvd, Suite 103, Lawton, OK 73505-6378 | 2017-02-15 |
| 1134586563 | Comanche County Healthcare Corporation | Internal Medicine | 6401 Sw Lee Blvd, Lawton, OK 73505-9678 | 2016-01-15 |
| 1164800348 | Comanche County Healthcare Corporation | Internal Medicine | 4202 Sw Lee Blvd, Bldg A Ste 104, Lawton, OK 73505-8300 | 2015-05-08 |
| 1891195590 | Comanche County Healthcare Corporation | Nurse Practitioner | 4411 W Gore Blvd, Suite A2, Lawton, OK 73505-6016 | 2014-08-29 |
| 1982025250 | Comanche County Healthcare Corporation | Family Medicine | 901 Sw Goodyear Blvd, Lawton, OK 73505-9755 | 2014-01-03 |
| Street Address |
110 NW 31ST ST 2ND FLOOR |
| City | LAWTON |
| State | OK |
| Zip Code | 73505-6100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467456038 | John Nereus Carter | Surgery | 110 Nw 31st St, 3rd Floor, Lawton, OK 73505-6100 | 2005-06-10 |
| 1346788296 | Comanche County Hospital Authority | Clinic/Center | 110 Nw 31st St, Suite 201, Lawton, OK 73505-6100 | 2017-02-10 |
| 1699220368 | Sarah Viscarra | Physician Assistant | 110 Nw 31st St, 2nd Floor, Lawton, OK 73505 | 2016-08-23 |
| 1558472506 | Comanche County Healthcare Corp | Surgery | 110 Nw 31st St, 3rd Floor, Lawton, OK 73505-6100 | 2006-08-31 |
| 1083634943 | Comanche County Healthcare | Neurological Surgery | 110 Nw 31st St, 2nd Floor, Lawton, OK 73505 | 2006-07-20 |
| 1841218401 | Comanche County Healthcare Corporation | Surgery | 110 Nw 31st St, Lawton, OK 73505-6100 | 2006-07-18 |
| 1144279258 | Jennifer Keck Gilbow | Nurse Practitioner | 110 Nw 31st St, 2nd Floor, Lawton, OK 73505-6100 | 2006-05-08 |
| 1225000664 | Erin E Mclemore | Orthopaedic Surgery | 110 Nw 31st St, 2nd Floor, Lawton, OK 73505-6100 | 2006-02-01 |
| 1528054822 | Elissa J Hunter | Surgery | 110 Nw 31st St, 3rd Floor, Lawton, OK 73505-6100 | 2005-09-22 |
| 1326047648 | Kelly D Means | Specialist | 110 Nw 31st St, 3rd Floor, Lawton, OK 73505-6100 | 2005-07-19 |
| Find all providers in the same location | ||||
| 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 | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720181621 | Lawton Family Foot Clinic Inc | Podiatrist | 5101 Sw Lee Blvd, Lawton, OK 73505-8317 | 2006-09-06 |
| 1336284595 | Bryan Cain | Podiatrist | 5101 Sw Lee Blvd, Lawton, OK 73505-8317 | 2007-02-21 |
| 1366456568 | Irvin A. Lee | Podiatrist | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235921 | Integrity Diabetic Shoes, Inc | Podiatrist | 117 N Garfield Ave, Sand Springs, OK 74063-7214 | 2020-08-14 |
| 1760949499 | Tushka Corp | Podiatrist | 2609 Highwood Pl, Claremore, OK 74017-4884 | 2019-02-28 |
| 1619475696 | Tulsa Podiatry Clinics LLC | Podiatrist | 416 W 15th St Ste 500c, Edmond, OK 73013-3672 | 2018-01-25 |
| 1518327089 | Mathew James Johnstone | Podiatrist | 1000 N Lincoln Blvd Ste 3400, Oklahoma City, OK 73104-3252 | 2016-02-26 |
| 1639438237 | Jason A. Lashley, D.p.m. | Podiatrist | 600 W. 15th, Edmond, OK 73013 | 2012-05-16 |
| 1073871265 | Benjamin Beecher Harkess | Podiatrist | 4140 W Memorial Rd Ste 421, Oklahoma City, OK 73120-8300 | 2012-04-25 |
| 1871863258 | Oklahoma Senior Podiatry Services, P.C. | Podiatrist | 3208 Brush Creek Rd., Oklahoma City, OK 73120-1852 | 2012-01-03 |
| 1437488384 | Edgar Paul Ledoux | Podiatrist | 215 E Choctaw, Ste 105, Mcalester, OK 74501 | 2009-12-23 |
| 1629305149 | Greater Tulsa Foot & Ankle Center, Pllc | Podiatrist | 3540 E. 31st Street, Suite 2, Greater Tulsa Foot & Ankle Center, Pllc, Tulsa, OK 74135 | 2009-11-04 |
| 1710154471 | Jeremy M Mason | Podiatrist | 5711 E 71 St, # 115, Tulsa, OK 74136 | 2008-05-13 |
| Find all providers with the same taxonomy | ||||
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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.