AARON L TRACHTE (NPI# 1629063300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629063300 |
Entity Type | Individual |
Full Name | AARON L TRACHTE |
Credential | MD |
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 | 2005-09-19 |
Last Update Date | 2008-02-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
20331 | OK | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | AETNA | 7341270 | 01 |
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 | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467456038 | John Nereus Carter | Surgery | 110 Nw 31st St, 3rd Floor, Lawton, OK 73505-6100 | 2005-06-10 |
1689678245 | Richard Jene Allgood | Surgery | 5404 Sw Lee Blvd, Lawton, OK 73505-9521 | 2005-06-10 |
1558472506 | Comanche County Healthcare Corp | Surgery | 110 Nw 31st St, 3rd Floor, Lawton, OK 73505-6100 | 2006-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518378603 | Whitney Thorne | Surgery | 608 Nw 9th St Ste 2200, Oklahoma City, OK 73102 | 2014-05-12 |
1942304241 | Michael Olen Riggs | Surgery | 13901 Mcauley Blvd., Ste. 210, Oklahoma City, OK 73134-8705 | 2006-09-08 |
1861504490 | Vascular Associates of Southern Oklahoma | Surgery | 2002 12th Ave Nw Ste E, Ardmore, OK 73401-1206 | 2006-08-31 |
1386753200 | Advanced Surgical Associates, PC | Surgery | 3330 Nw 56th St., Ste 208, Oklahoma City, OK 73112 | 2006-08-30 |
1578676938 | Abbas Toughanipour | Surgery | 238 N Midwest Blvd, Suite 201, Midwest City, OK 73110-4311 | 2006-08-17 |
1124085139 | Philip A Floyd | Surgery | 2800 Nw 63rd St, Ste 900, Oklahoma City, OK 73116-4836 | 2006-04-26 |
1952388365 | Kevin Michael Mcmullen | Surgery | 11011 Hefner Pointe Dr, Ste A, Oklahoma City, OK 73120-5005 | 2005-12-28 |
1043209307 | Peter Richard Nelson | Surgery | 1919 S Wheeling Ave Ste 600, Tulsa, OK 74104-5635 | 2005-10-19 |
1215324553 | Cardiovascular Health Clinic Pllc | Surgery | 3200 Quail Springs Parkway, Ste 200, Oklahoma City, OK 73134 | 2015-04-24 |
1881000941 | Saints Medical Group LLC | Surgery | 608 Nw 9th St, Suite 5010, Oklahoma City, OK 73102-1068 | 2014-07-09 |
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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.