DAN HORTON, M.D., INC. (NPI# 1568590784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568590784 |
| Entity Type | Organization |
| Organization Name | DAN HORTON, M.D., INC. |
| Practice Address |
4417 W Gore Blvd Suite 6 Lawton OK 73505-5978 |
| Practice Telephone | 5803533920 |
| Practice Fax Number | 5803533936 |
| Mailing Telephone | 5803533920 |
| Mailing Fax Number | 5803533936 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2010-06-29 |
| Authorized Official Name | MRS. STEPHANIE P. GREEN (OFFICE MANAGER) |
| Authorized Official Telephone | 5803533920 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 10253 | OK | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100089340A | 05 | |
| OK | BCBS BILLING NUMBER | 731026014-001 | 01 |
| Street Address |
4417 W GORE BLVD SUITE 6 |
| City | LAWTON |
| State | OK |
| Zip Code | 73505-5978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609879899 | Ross Hensley | Dermatology | 4417 W Gore Blvd, Ste 7, Lawton, OK 73505-5978 | 2005-05-23 |
| 1275935702 | Jacqueline Alford | Dentist | 4417 W Gore Blvd, Ste 11, Lawton, OK 73505-6019 | 2014-09-16 |
| 1932546389 | Christopher Alexander Larrow | Dentist | 4417 W Gore Blvd, Ste 11, Lawton, OK 73505-6019 | 2013-05-24 |
| 1518243096 | Magdalena B Sikora Md PC | Clinic/Center | 4417 W Gore Blvd, Suite 1, Lawton, OK 73505-5978 | 2011-10-27 |
| 1790916922 | Debra A Crawford, Do LLC | Obstetrics & Gynecology | 4417 W Gore Blvd, Ste 3, Lawton, OK 73505-5978 | 2009-08-05 |
| 1689863946 | Comanche Nephrology PC | Internal Medicine | 4417 W Gore Blvd, Suite 1, Lawton, OK 73505-5978 | 2007-10-23 |
| 1194858720 | Jeffrey L Zweig Md PC | Obstetrics & Gynecology | 4417 W Gore Blvd, Ste 3, Lawton, OK 73505-5978 | 2007-03-13 |
| 1598896110 | Magdalena Barbara Sikora | Internal Medicine | 4417 W Gore Blvd, Suite 1, Lawton, OK 73505-5978 | 2007-03-07 |
| 1457448698 | Wavel L. Wells, Dds, Inc | Dentist | 4417 W Gore Blvd, Suite 11, Lawton, OK 73505-5978 | 2006-10-09 |
| 1467551150 | Nicholas Joseph Chelenza Jr. | Dentist | 4417 W Gore Blvd, Suite 11, Lawton, OK 73505-5978 | 2006-09-21 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785985 | Stars and Stripes Therapy Inc. | Clinic/Center | 713 Sw C Ave Ste A, Lawton, OK 73501-4311 | 2020-06-22 |
| 1093341844 | Osu Center for Health Sciences | Clinic/Center | 3201 W Gore Blvd Ste G2, Lawton, OK 73505-6323 | 2020-03-12 |
| 1255964128 | Osu Center for Health Sciences | Clinic/Center | 110 Nw 31st St Fl 3, Lawton, OK 73505-6100 | 2020-02-19 |
| 1447895586 | Osu Center for Health Sciences | Clinic/Center | 3201 W Gore Blvd Ste 201, Lawton, OK 73505-6350 | 2019-11-13 |
| 1558651687 | Concentra Health Care Pa | Clinic/Center | 901 Goodyear Boulevard, Lawton, OK 73505 | 2011-04-11 |
| 1326276189 | Breastfeeding Guidance Center of Southwest Oklahoma | Clinic/Center | 711 Sw D Ave, Suite 207, Lawton, OK 73501-4561 | 2009-06-30 |
| 1982239703 | Osu Center for Health Sciences | Clinic/Center | 3201 W Gore Blvd Ste 300, Lawton, OK 73505-6350 | 2020-03-12 |
| 1427694678 | Osu Center for Health Sciences | Clinic/Center | 102 Nw 31st St, Lawton, OK 73505-6100 | 2019-11-22 |
| 1730742693 | Osu Center for Health Sciences | Clinic/Center | 110 Nw 31st St Fl 2, Lawton, OK 73505-6100 | 2019-04-17 |
| 1497267298 | Osu Center for Health Sciences | Clinic/Center | 5050 Sw Lee Blvd, Lawton, OK 73505-8323 | 2017-11-02 |
| 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.