COMANCHE COUNTY HEALTHCARE (NPI# 1770500753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770500753 |
Entity Type | Organization |
Organization Name | COMANCHE COUNTY HEALTHCARE |
Other Organization Name | DUNCAN SPINE AND NEUROSURGERY CENTER |
Practice Address |
4417 W Gore Blvd Suite 9 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 | 2006-07-16 |
Last Update Date | 2008-01-30 |
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 | 207T00000X | Neurological Surgery | 3110 | OK | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Duncan Spine and Neurosurgery Center | 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 |
4417 W GORE BLVD SUITE 9 |
City | LAWTON |
State | OK |
Zip Code | 73505 |
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 |
1568590784 | Dan Horton, M.d., Inc. | Clinic/Center | 4417 W Gore Blvd, Suite 6, Lawton, OK 73505-5978 | 2007-03-01 |
1457448698 | Wavel L. Wells, Dds, Inc | Dentist | 4417 W Gore Blvd, Suite 11, Lawton, OK 73505-5978 | 2006-10-09 |
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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 |
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Taxonomy Code | 207T00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Neurological Surgery |
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710540257 | David M Mckalip Md Pllc | Neurological Surgery | 5108 W Gore Blvd Ste 2b, Lawton, OK 73505-6025 | 2019-04-19 |
1336257641 | Luis Reina Md | Neurological Surgery | 2701 Sw A Ave, Lawton, OK 73505-7123 | 2006-08-27 |
1821106139 | Desiree Ortiz-cruz, Md, PC | Neurological Surgery | 2701 Sw A Avenue, Lawton, OK 73506 | 2006-08-27 |
1689669905 | David M Pagnanelli | Neurological Surgery | 5604 Sw Lee Blvd, Suite 357, Lawton, OK 73505-9681 | 2005-09-13 |
1558675785 | Neurosurgery Center of Southwest Oklahoma Inc | Neurological Surgery | 3201 W Gore Blvd, Lawton, OK 73505-6378 | 2010-07-29 |
1083634943 | Comanche County Healthcare | Neurological Surgery | 110 Nw 31st St, 2nd Floor, Lawton, OK 73505 | 2006-07-20 |
1013975580 | Stephen Kwame Ofori-kwakye | Neurological Surgery | 3201 W Gore Blvd, Suite 303, Lawton, OK 73505-6378 | 2006-05-03 |
1790771095 | Johnny D Duncan | Neurological Surgery | 4417 W Gore Blvd, Suite 9, Lawton, OK 73505 | 2005-09-22 |
1538155122 | Mark O Duncan | Neurological Surgery | 110 Nw 31st St Fl 2, Lawton, OK 73505-6100 | 2005-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114560554 | Secure Interpretation, LLC | Neurological Surgery | 5561 South Lewis Ave, Tulsa, OK 74105 | 2019-10-17 |
1215356589 | Zoya Alexandrovna Voronovich | Neurological Surgery | 1000 N Lincoln Blvd Ste 300, Oklahoma City, OK 73104-3252 | 2014-04-15 |
1588912034 | Carrissa Candler Md Pllc | Neurological Surgery | 120 N Bryant Ave Ste A6, Edmond, OK 73034-6300 | 2012-08-15 |
1396034047 | Saints Medical Group, LLC | Neurological Surgery | 800 Nw 9th St Ste 201, Oklahoma City, OK 73106-7253 | 2011-04-04 |
1669784351 | Thomas D. Reeder II, D.o., P.C. | Neurological Surgery | 2212 Nw 47th St, Oklahoma City, OK 73112-8848 | 2010-07-09 |
1215252440 | Joanna Elizabeth Gernsback | Neurological Surgery | 1000 N Lincoln Blvd # 4000, Oklahoma City, OK 73104-3252 | 2010-03-31 |
1811222094 | John Albert Coates | Neurological Surgery | 6416 S Quebec Ave, Tulsa, OK 74136-1611 | 2009-10-06 |
1003050493 | Tyler Sean Auschwitz | Neurological Surgery | 2000 South Wheeling, Ste 200, St. Johns Neuroscience Institute, Tulsa, OK 74104 | 2009-04-29 |
1881867547 | Rongsheng Cai | Neurological Surgery | 6151 S Yale Ave Ste 2403, Tulsa, OK 74136-1907 | 2008-04-02 |
1679759625 | Qualls E Stevens | Neurological Surgery | 1342 S Douglas Blvd, Suite A, Midwest City, OK 73130-5215 | 2008-01-20 |
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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.